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SUSAN BOUCHARD CHAPPUIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP-C

Contact information

Practice address
300 HEALTH PARK BLVD STE 3002, ST AUGUSTINE, FL 32086
(904) 819-1500
(904) 810-1023
Mailing address
300 HEALTH PARK BLVD STE 3002, ST AUGUSTINE, FL 32086-3703
(904) 819-1500
(904) 810-1023

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
ARNP1830302
FL

Other

Enumeration date
03/14/2008
Last updated
08/09/2018
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