Organization
DISCOVERY HEALTH ZONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY NICOLE HARDEN NURSE PRACTITIONER (OWNER)
(904) 773-4567
Entity
Organization
Contact information
Practice address
101 W 48TH ST, JACKSONVILLE, FL 32208-5232
(904) 773-4567
(628) 200-2178
Mailing address
7956 DAWSONS CREEK DR, JACKSONVILLE, FL 32222-4907
(904) 955-7575
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2021
Last updated
08/01/2021
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