Individual
MRS. MELISSA JANE BOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12058 SAN JOSE BLVD STE 1003, JACKSONVILLE, FL 32223-8667
(904) 391-9875
(904) 321-9890
Mailing address
3948 3RD ST S STE 151, JACKSONVILLE BEACH, FL 32250-5847
(619) 641-9776
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9320462
FL
225700000X
Massage Therapist
MA35203
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11007220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9320462
—
FL
Enumeration date
05/20/2009
Last updated
10/26/2021
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