Individual
MRS. MELISSA USINA FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-4242
Mailing address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-4242
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
ARNP 9324662
FL
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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