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Individual

ANGELA RENEE BURNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4203 BELFORT RD STE 108, JACKSONVILLE, FL 32216-1411
(904) 450-6460
(904) 450-6469
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6017
(904) 450-6041

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP9408294
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN9408294
FL

Other

Enumeration date
10/30/2011
Last updated
11/18/2020
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