Individual
JOCELYN PRIDEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
5817 15TH AVE S, GULFPORT, FL 33707-3336
(727) 214-4712
Mailing address
2801 TIFTON ST S, GULFPORT, FL 33711-3647
(727) 214-4712
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN2834682
FL
Other
Enumeration date
12/11/2021
Last updated
12/11/2021
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