Individual
MISS JILL SUSAN ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2700 BROADWAY, WEST PALM BEACH, FL 33407-5433
(772) 486-5067
Mailing address
132 WETTAW LN APT 111, NORTH PALM BEACH, FL 33408-5685
(772) 486-5067
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11022663
FL
Other
Enumeration date
11/09/2022
Last updated
04/17/2024
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