KELLIE JEAN FORTNER

ST AUGUSTINE, FL
NPI1306190319
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP9266139)
Enumeration Date2012-10-30
Last Update Date2013-06-17
Business Address
-- KELLIE JEAN FORTNER A.R.N.P.
400 HEALTH PARK BLVD STE 300
ST AUGUSTINE, FL 32086-5784
Phone number: 904-819-5155
Mailing Address
-- KELLIE JEAN FORTNER A.R.N.P.
400 HEALTH PARK BLVD STE 300
ST AUGUSTINE, FL 32086-5784
Phone number:
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