Individual
CODY TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4475 SAN JUAN AVE, JACKSONVILLE, FL 32210-3357
(904) 389-0314
Mailing address
311 SHADOW GLEN DR, NASHVILLE, TN 37211-7521
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0000029647
TN
363LF0000X
Family Nurse Practitioner
Primary
11013500
FL
Other
Enumeration date
06/21/2021
Last updated
06/23/2021
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