Individual
MRS. MELINDA WHEELEY FAWBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP
Contact information
Practice address
1235 SAN MARCO BLVD, #419, JACKSONVILLE, FL 32207-8554
(904) 202-7313
(904) 202-7010
Mailing address
1235 SAN MARCO BLVD, #419, JACKSONVILLE, FL 32207-8554
(904) 202-7313
(904) 202-7010
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
828782
FL
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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