Organization
GODLY HAND - HOUSE CALLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA EVETTE STAFFORD FNP (FAMILY NURSE PRACTITIONER)
(912) 464-2998
Entity
Organization
Contact information
Practice address
221 N HOGAN ST # 320, JACKSONVILLE, FL 32202-4201
(912) 464-2998
Mailing address
221 N HOGAN ST # 320, JACKSONVILLE, FL 32202-4201
(912) 464-2998
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
07/17/2020
Last updated
08/25/2021
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