Individual
CHAKA GROVER BRITTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
800 SHETTER AVE FL 32250, JACKSONVILLE BEACH, FL 32250-4348
(904) 241-6767
Mailing address
172 OXBRIDGE WAY, SAINT JOHNS, FL 32259-7083
(850) 524-3744
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11016737
FL
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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