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Individual

JOCELYN GONZALEZ ETHEREDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3547 HENDRICKS AVE, JACKSONVILLE, FL 32207-5309
(904) 877-1100
(904) 877-1200
Mailing address
10860 TRESTLE CT, JACKSONVILLE, FL 32257-3336
(904) 412-1646

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN9382630
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11021202
FL

Other

Enumeration date
07/06/2022
Last updated
03/19/2024
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