Individual
MRS. CATHLEEN HELENA SOUTHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2606 PARK ST, JACKSONVILLE, FL 32204-4520
(904) 388-4646
(904) 388-9017
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(904) 388-4646
(904) 388-9017
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9232015
FL
Other
Enumeration date
04/19/2010
Last updated
04/22/2021
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