Individual
MRS. ALEISHA MICHELLE GASAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP
Contact information
Practice address
3847 CHASING FALLS RD, ORANGE PARK, FL 32065-3570
(662) 213-2648
Mailing address
13927 SHIPWRECK CIR N, JACKSONVILLE, FL 32224-1121
(904) 710-9719
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11000008
FL
Other
Enumeration date
09/17/2018
Last updated
10/02/2019
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