Individual
JEREMIAH D BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
820 PRUDENTIAL DR STE 304, JACKSONVILLE, FL 32207-8205
(904) 202-3860
(904) 202-3846
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11007256
FL
363LA2100X
Acute Care Nurse Practitioner
APRN11007256
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11007256
FL
Other
Enumeration date
06/26/2020
Last updated
06/25/2024
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