Individual
MICHOLE KIANA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2041 PAYNE AVE, JACKSONVILLE, FL 32209-5636
(904) 554-8084
Mailing address
2041 PAYNE AVE, JACKSONVILLE, FL 32209-5636
(904) 554-8084
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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