Individual
MS. REBECCA MAHAN RICCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITTIONER
Contact information
Practice address
4161 CARMICHAEL AVENUE STE 150, JACKSONVILLE, FL 32207-4301
(904) 829-8954
Mailing address
4161 CARMICHAEL AVENUE SUITE 150, JACKSONVILLE, FL 32207
(904) 829-8954
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN1228792
FL
Other
Enumeration date
04/08/2011
Last updated
12/12/2013
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