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Individual

LYNNE H CONDERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2 SHIRCLIFF WAY STE 300, JACKSONVILLE, FL 32204-4765
(904) 308-2006
(904) 308-7111
Mailing address
4205 BELFORT RD, STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6017
(904) 450-6041

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN9247200
FL
363LA2200X
Adult Health Nurse Practitioner
APRN9247200
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9247200
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003151894A
GA
05
012798500
FL
Enumeration date
07/07/2014
Last updated
11/15/2022
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