Individual
DENISHA NURSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1728 LOYOLA DR N, JACKSONVILLE, FL 32218-5263
(904) 994-2692
Mailing address
1728 LOYOLA DR N, JACKSONVILLE, FL 32218-5263
(904) 994-2692
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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