Individual
JILL D GRESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
89 W COPELAND DR, ORLANDO, FL 32806-2002
(321) 841-7550
(321) 841-8185
Mailing address
89 W COPELAND DR, ORLANDO, FL 32806-2002
(321) 841-7550
(321) 841-8185
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9353364
FL
363LA2100X
Acute Care Nurse Practitioner
SP-00760
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012190000
—
FL
01
—
ARNP9353364
MEDICAL LICENSE
FL
Enumeration date
06/15/2006
Last updated
11/15/2016
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