Individual
CAMILLE CHRISTINE GORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
13770 BEACH BLVD, SUITE # 6, JACKSONVILLE, FL 32224-7205
(904) 242-4220
(904) 242-4221
Mailing address
13770 BEACH BLVD, SUITE # 6, JACKSONVILLE, FL 32224-7205
(904) 242-4220
(904) 242-4221
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9279833
FL
363LP2300X
Primary Care Nurse Practitioner
ARNP9279833
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003867800
—
FL
Enumeration date
07/12/2008
Last updated
09/30/2014
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