Individual
MS. NICOLE ANN WOODSMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSH, RD, LD/N
Contact information
Practice address
5322-24 N. PEARL ST., JACKSONVILLE, FL 32208
(904) 253-1159
(904) 359-3816
Mailing address
900 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-9203
(904) 253-1000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 5263
FL
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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