Individual
CONSTANCE HARGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
767 BLANDING BLVD STE 105, ORANGE PARK, FL 32065-5788
(904) 872-4245
(904) 877-3453
Mailing address
767 BLANDING BLVD STE 105, ORANGE PARK, FL 32065-5788
(904) 872-4245
(904) 877-3453
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1619416328
FL
363LG0600X
Gerontology Nurse Practitioner
ARNP9312081
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
1619416328
FL
Other
Enumeration date
02/14/2017
Last updated
11/05/2025
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