Individual
MRS. CONNIE EDGIL CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 754-6412
Mailing address
209 SW CALLAHAN AVE., LAKE CITY, FL 32024-4213
(386) 697-6251
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000140269
TN
163W00000X
Registered Nurse
RN9249931
FL
363L00000X
Nurse Practitioner
APN0000008429
TN
Other
Enumeration date
11/15/2006
Last updated
09/11/2025
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