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NPI Code Detail

MEDICARE: BRITTANY ELIZABETH GASPAR NETTLES APRN

MEDICARE:   BRITTANY ELIZABETH GASPAR NETTLES  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN11007441FL

General Provider Information

NPI Number : 1164047957
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY ELIZABETH GASPAR NETTLES APRN
Provider Business Mailing Address
First Line : 1604 KILCHURN RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32221-3871
Country : US
Telephone Number : 352-283-5690
Fax Number :
Provider Business Practice Location Address
First Line : 1604 KILCHURN RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32221-3871
Country : US
Telephone Number : 352-283-5690
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2020
Last Update Date : 06/08/2020

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Directions to “ BRITTANY ELIZABETH GASPAR NETTLES APRN” Practice Location

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