Individual
KELLY SHAYE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 956-3111
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 956-3111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11025300
FL
Other
Enumeration date
10/10/2023
Last updated
11/24/2023
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