Individual
EVELYN KNOBLOCK BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4311 SALISBURY RD, JACKSONVILLE, FL 32216-6123
(904) 855-4211
Mailing address
1941 BIGGERS RD, JACKSONVILLE, FL 32216-3102
(904) 726-0174
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
ARNP546142
FL
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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