Individual
MS. LAURA J GRIEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3901 UNIVERSITY BLVD S STE 221, JACKSONVILLE, FL 32216-4392
(904) 423-0010
(904) 423-0012
Mailing address
3901 UNIVERSITY BLVD S STE 221, JACKSONVILLE, FL 32216-4392
(904) 423-0010
(904) 423-0012
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1194782
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023966500
—
FL
01
—
Y6912
BCBS FL
FL
Enumeration date
07/18/2006
Last updated
04/17/2018
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