Individual
CORINNE MARIE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9550 REGENCY SQUARE BLVD STE 903, JACKSONVILLE, FL 32225-8116
(561) 523-9392
(904) 329-2349
Mailing address
9550 REGENCY SQUARE BLVD STE 903, JACKSONVILLE, FL 32225-8116
(561) 523-9392
(904) 329-2349
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11003066
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019043970
ANCC
FL
01
—
APRN11003066
APRN
FL
Enumeration date
07/03/2019
Last updated
07/03/2019
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