Individual
MS. EMILY OPDYCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
14540 OLD SAINT AUGUSTINE RD STE 2497, JACKSONVILLE, FL 32258-7420
(904) 260-0352
(904) 260-0353
Mailing address
8149 POINT MEADOWS WAY, JACKSONVILLE, FL 32256-9111
(904) 260-0352
(904) 363-9818
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN9479682
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024227900
—
FL
01
—
359903
AVMED
FL
01
—
9677959
AETNA
FL
01
—
Y0E8G
BCBS FL
FL
Enumeration date
10/18/2010
Last updated
03/21/2019
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