Individual
NICOLE LYNN GRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
301 HEALTH PARK BLVD STE 219, SAINT AUGUSTINE, FL 32086-5795
(904) 819-9898
(904) 819-9594
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0333
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
APRN11011386
FL
367A00000X
Advanced Practice Midwife
Primary
APRN11011386
FL
367A00000X
Advanced Practice Midwife
R40191
ND
Other
Enumeration date
12/19/2018
Last updated
01/24/2024
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