Individual
CHANDALA MONIQUE HAGANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7317 STEVENTON WAY, JACKSONVILLE, FL 32244-8179
(904) 712-3380
(904) 712-6210
Mailing address
221 N HOGAN ST # 335, JACKSONVILLE, FL 32202-4201
(904) 712-3380
(904) 712-6210
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11019158
FL
Other
Enumeration date
12/22/2021
Last updated
03/19/2024
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