Individual
NICOLE AMBER PARRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
1325 SAN MARCO BLVD STE 102, JACKSONVILLE, FL 32207-8549
(904) 858-7045
Mailing address
1804 STERNWHEEL DR, JACKSONVILLE, FL 32223-5047
(904) 334-3176
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3489
FL
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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