Individual
EVA M. KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7807 BAYMEADOWS RD E STE 208, JACKSONVILLE, FL 32256
(904) 330-0302
(904) 330-0418
Mailing address
7807 BAYMEADOWS RD E STE 208, JACKSONVILLE, FL 32256-9666
(904) 330-0302
(904) 340-0418
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9238011
FL
Other
Enumeration date
01/08/2018
Last updated
08/20/2018
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