Individual
MRS. TAMI LEIGH NEWBERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1631 RACE TRACK RD STE 101, SAINT JOHNS, FL 32259-3233
(904) 230-7977
Mailing address
1631 RACE TRACK RD STE 101, SAINT JOHNS, FL 32259-3233
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP 9237911
FL
Other
Enumeration date
06/15/2011
Last updated
07/25/2012
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