Individual
CAROLINE WITT NETTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
228 NW RANCH CT, LAKE CITY, FL 32055-8922
(386) 288-3648
Mailing address
4225 NW AMERICAN LN, LAKE CITY, FL 32055-8841
(386) 758-6141
(386) 758-6140
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN1100691
FL
Other
Enumeration date
07/06/2020
Last updated
10/19/2020
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