Individual
KIALA DENISE LATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209-6525
(904) 475-5800
Mailing address
12527 AMERICAN EAGLE WAY, JACKSONVILLE, FL 32225-0838
(904) 502-1197
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11017243
FL
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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