Individual
LISA A. CORDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12276 SAN JOSE BLVD, SUITE 401, JACKSONVILLE, FL 32223-8628
(904) 268-5561
(904) 292-9170
Mailing address
12276 SAN JOSE BLVD, SUITE 401, JACKSONVILLE, FL 32223-8628
(904) 268-5561
(904) 292-9170
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP 9316298
FL
364SF0001X
Family Health Clinical Nurse Specialist
Primary
ARNP9316298
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012851500
—
FL
Enumeration date
10/01/2010
Last updated
01/18/2022
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