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Individual

KELLY WHITE SEGARS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9183422
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
308255500
FL
01
P00769968
RAILROAD MEDICARE
FL
Enumeration date
03/19/2007
Last updated
08/31/2020
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