Individual
CASSANDRA JOLENE HULTGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9220868
FL
363L00000X
Nurse Practitioner
Primary
ARNP9220868
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002091200
—
FL
Enumeration date
12/17/2009
Last updated
10/07/2010
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