Individual
JACQUELYN MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5200 BABCOCK ST NE STE 103, PALM BAY, FL 32905-4639
(321) 312-4796
Mailing address
PO BOX 361095, MELBOURNE, FL 32936-1095
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP9282570
FL
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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