NPI 1376094086

Dns Waiver Support Coordinator

Organisation Health Maintenance Organization Jacksonville, FL

Practice location

Address: 4451 Marsh Hawk Dr S, Jacksonville, FL 32218-9173
Phone: (904) 729-9770

Authorised official

Name: Deborah Nurse-Sellers
Title: Owner
Phone: (904) 729-9770

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in Florida →

Registry record

NPI: 1376094086
Entity type: Organization
NPI issued: 18 Oct 2016
Record last updated: 18 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.