Individual
MRS. MEGHAN WALSH BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1633 RACE TRACK RD, SUITE 103, JACKSONVILLE, FL 32259-3234
(904) 287-7000
(904) 460-2212
Mailing address
1102 A1A N, UNIT 104, PONTE VEDRA BEACH, FL 32082-4098
(904) 273-6533
(904) 273-6532
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9219966
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821385030
—
VA
Enumeration date
07/08/2011
Last updated
07/30/2012
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