Individual
CAMERON DENISE JELKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1155 E 21ST ST, JACKSONVILLE, FL 32206-2401
(904) 633-0500
Mailing address
1155 E 21ST ST, JACKSONVILLE, FL 32206-2401
(904) 383-1010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9279941
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013672900
—
FL
Enumeration date
10/17/2014
Last updated
05/23/2019
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