Individual
ELEANOR ELIZABETH JEMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3143 LINDEN AVE, GULF BREEZE, FL 32563-5303
(850) 932-0036
Mailing address
3143 LINDEN AVE, GULF BREEZE, FL 32563-5303
(850) 932-0036
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN3123872
FL
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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