Individual
PAULA R. PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N., C.N.M.
Contact information
Practice address
3 SHIRCLIFF WAY STE 310, JACKSONVILLE, FL 32204-4780
(904) 384-3699
(904) 384-8529
Mailing address
PO BOX 25317, TAMPA, FL 33622-5317
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP1150142
FL
367A00000X
Advanced Practice Midwife
Primary
APRN1150142
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307860400
—
FL
Enumeration date
06/11/2006
Last updated
10/31/2022
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