Individual
KEISHA D PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 PRUDENTIAL DR STE 1100, JACKSONVILLE, FL 32207-8202
(904) 388-6518
(904) 384-1005
Mailing address
800 PRUDENTIAL DR FL B11, JACKSONVILLE, FL 32207-8202
(904) 388-6518
(904) 384-1005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9194377
FL
Other
Enumeration date
11/20/2009
Last updated
01/13/2022
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