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1649723214
MARISSA ENNIS
JACKSONVILLE, FL
NPI
1649723214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP3022642)
Enumeration Date
2016-07-29
Last Update Date
2020-08-28
Business Address
MARISSA ENNIS MSN
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000
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Mailing Address
MARISSA ENNIS MSN
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number:
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