Individual
KELLY STEAGALL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1233 LANE AVE S, SUITE 9, JACKSONVILLE, FL 32205-6284
(904) 781-1163
(904) 781-4187
Mailing address
1233 LANE AVE S, SUITE 9, JACKSONVILLE, FL 32205-6284
(904) 781-1163
(904) 781-4187
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9229641
FL
Other
Enumeration date
05/30/2006
Last updated
07/08/2007
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