Individual
LORETTA MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8540 BAYCENTER RD, JACKSONVILLE, FL 32256-7420
(904) 488-1933
Mailing address
8540 BAYCENTER RD, JACKSONVILLE, FL 32256-7420
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9535496
FL
163WC1500X
Community Health Registered Nurse
Primary
RN9535496
FL
363LF0000X
Family Nurse Practitioner
APRN11007752
FL
Other
Enumeration date
11/22/2005
Last updated
08/16/2022
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