Individual
LEDA MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3625 UNIVERSITY BLVD. S., JACKSONVILLE, FL 32216-4207
(904) 702-6089
Mailing address
2040 PARADISE OAKS CT., JACKSONVILLE, FL 32233
(904) 415-2705
(865) 291-3634
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
000000
FL
Other
Enumeration date
07/08/2019
Last updated
08/02/2022
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