AMBER JACK

MELBOURNE, FL
NPI1992445951
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  APRN11017398)
Enumeration Date2022-03-29
Last Update Date2023-03-31
Business Address
Mrs. AMBER JACK APRN
6619 N WICKHAM RD
MELBOURNE, FL 32940-2006
Phone number: 321-259-9500
Mailing Address
Mrs. AMBER JACK APRN
6619 N WICKHAM RD
MELBOURNE, FL 32940-2006
Phone number:
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