GEORGETTE LOUISE PROVOST-DUKES

JACKSONVILLE, FL
NPI1689178667
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP9168198)
Enumeration Date2018-03-22
Last Update Date2021-03-04
Business Address
GEORGETTE LOUISE PROVOST-DUKES Nurse Practitioner
4241 BAYMEADOWS RD STE 6
JACKSONVILLE, FL 32217-4673
Phone number: 407-719-5723
Mailing Address
GEORGETTE LOUISE PROVOST-DUKES Nurse Practitioner
3110 WHITE HERON TRL
ORANGE PARK, FL 32073-1644
Phone number: 407-719-5723
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