Individual
LISA HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, DNP
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 571-0929
Mailing address
1933 BURGESS HILL CIR W, JACKSONVILLE, FL 32246-4087
(904) 571-0929
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN9258204
FL
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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