MICHELE L. BANNISTER

ORANGE PARK, FL
NPI1669000105
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  11015678)
Enumeration Date2020-03-30
Last Update Date2021-11-10
Business Address
MICHELE L. BANNISTER APRN, FNP-BC
930 KINGSLEY AVE
ORANGE PARK, FL 32073-4704
Phone number: 904-269-0500
Mailing Address
MICHELE L. BANNISTER APRN, FNP-BC
930 KINGSLEY AVE
ORANGE PARK, FL 32073-4704
Phone number: 904-269-0500
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