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Individual

ALLIE NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
10199 SOUTHSIDE BLVD STE 101, JACKSONVILLE, FL 32256-0757
(904) 999-2800
Mailing address
8700 SOUTHSIDE BLVD APT 2214, JACKSONVILLE, FL 32256-0720
(678) 372-4559

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9501724
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11000938
FL

Other

Enumeration date
01/16/2019
Last updated
01/16/2019
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