5JAGHEALTH, PLLC
Organization (NPI-2)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1407636582- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 112 IRVIN AVE SW, LIVE OAK, FL, 320642214
- Phone
- (386) 647-6144
Specialties & Taxonomies
Family Medicine
Nurse Practitioner, Family
Primary