Individual
KRISTEN GOODYEAR SZUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, CPNP-PC
Contact information
Practice address
841 PRUDENTIAL DR STE 100, JACKSONVILLE, FL 32207-8346
(904) 633-4110
(904) 633-4111
Mailing address
841 PRUDENTIAL DR STE 100, JACKSONVILLE, FL 32207-8346
(904) 633-4110
(904) 633-4111
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
9436249
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11010020
FL
Other
Enumeration date
01/12/2019
Last updated
11/15/2021
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