Individual
MARISSA BETH MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-2000
Mailing address
13036 HEMING WAY, ORLANDO, FL 32825-2712
(904) 728-0170
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN9304604
FL
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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