Individual
CHELSEA BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7011 A C SKINNER PKWY, JACKSONVILLE, FL 32256-6954
(904) 493-3333
Mailing address
5762 MARTIN RHODEN LN, MACCLENNY, FL 32063-3840
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9486453
FL
363LF0000X
Family Nurse Practitioner
Primary
11020180
FL
Other
Enumeration date
06/13/2022
Last updated
07/25/2022
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