Individual
DR. ALYSHA MARINA DEGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7640
Mailing address
85001 CREWS RD, FERNANDINA BEACH, FL 32034-1557
(904) 307-5724
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9192330
FL
363LF0000X
Family Nurse Practitioner
Primary
11013662
FL
Other
Enumeration date
02/08/2021
Last updated
06/15/2021
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