Individual
AUDREY CLAIRE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
248392
TN
363L00000X
Nurse Practitioner
Primary
11016102
FL
363LA2100X
Acute Care Nurse Practitioner
109419
FL
Other
Enumeration date
12/17/2021
Last updated
03/18/2022
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