Individual
MRS. EMILY GORDON PIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CPNP-AC
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-8000
Mailing address
393 MAJESTIC EAGLE DR, PONTE VEDRA, FL 32081-0617
(904) 861-5251
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP 9217717
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003149493A
—
GA
05
—
012173500
—
FL
Enumeration date
10/31/2008
Last updated
09/02/2014
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