Doctor Name: | MRS. JUSIL L RICE |
NPI Number: | 1134474588 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP3309582 |
Business Practice Address: | 3839 County Road 218 Middleburg, FL - 320685708 |
Business Phone Number: | 9042826331 |
Business Fax Number: | |
Mailing Address: | 1409 Kingsley Ave, Suite 6a ORANGE PARK |
State: | FL |
Postal Code: | 320734537 |
Phone Number: | 9042647514 |
Fax Number: | |
NPI Enumeration Date: | 07/20/2012 |
NPI Last Update Date: | 05/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | ARNP3309582 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |