Individual
RACHEL GUPTON MANGINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
841 PRUDENTIAL DR STE 1400, JACKSONVILLE, FL 32207-8364
(904) 396-5682
Mailing address
1420 S BURGANDY TRL, JACKSONVILLE, FL 32259-5443
(904) 657-6849
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11028581
FL
Other
Enumeration date
03/21/2022
Last updated
08/29/2024
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