Individual
MICHELLE A CONKLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM, DNP
Contact information
Practice address
1680 EAGLE HARBOR PKWY STE A, ORANGE PARK, FL 32003-4821
(904) 264-9555
(904) 215-7960
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP1220552
FL
367A00000X
Advanced Practice Midwife
Primary
APRN1220552
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307775600
—
FL
Enumeration date
07/09/2006
Last updated
06/23/2023
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