Individual
ASHLEY BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 LOMAX ST, JACKSONVILLE, FL 32204-4098
(904) 355-6583
Mailing address
527 LAKE SINCLAIR ST, SAINT AUGUSTINE, FL 32084-1564
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11035454
FL
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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