Individual
MR. JOHN MARSHALL WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8211
(904) 202-9180
Mailing address
391 SAINT JOHNS GOLF DR, SAINT AUGUSTINE, FL 32092-1082
(904) 463-5981
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
9481932
FL
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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