Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0000X | Nurse Practitioner - Neonatal | ARNP 9164683 | FL |
Y | 363LN0000X | Nurse Practitioner - Neonatal | RN9459062 | FL |
NPI | 1134344302 |
---|---|
Provider Name | Ms. Eleanor F Pardue |
First Address | Jacksonville, FL 32212 |
Second Address | Jacksonville, FL 32212 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2007 |
Last Update Date | 01/02/2018 |