Jerry Mia Sell LMHC/RN

NPI 1033414479 - Registered Nurse - 163W00000X

NPI Details
NPI 1033414479
Gender Female
Enumeration Date 01/16/2011
Last Updated 01/16/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
3810-3 WILLIAMSBURG PARK BLVD
JACKSONVILLE FL, 32257-9220, US
Phone (904) 419-6102
Fax (904) 739-2153
Business Location
3810-3 WILLIAMSBURG PARK BLVD
JACKSONVILLE FL, 32257-9220, US
Phone (904) 419-6102
Fax (904) 739-2153
Toxanomy
Taxonomy Code 163W00000X
License State Florida
License Number RN2172282
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According to our database, Ms. Jerry Mia Sell LMHC/RN NPI is 1033414479, taxonomy code is 163W00000X and license number is RN2172282, license state is located at Florida. Jerry Mia Sell LMHC/RN physically located at 3810-3 Williamsburg Park Blvd, Jacksonville FL, 32257-9220. NPI Number Jerry Mia Sell LMHC/RN has the Individual type.

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1033414479 NPI number is provided on an as is basis without warranty of any kind. 1033414479 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry Mia Sell LMHC/RN are for informational purposes only.