| Godly Hand - House Calls Llc | |
|
221 N Hogan St # 320 Jacksonville FL 32202-4201 | |
| (912) 464-2998 | |
| Not Available |
| Full Name | Godly Hand - House Calls Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 221 N Hogan St # 320, Jacksonville, Florida |
| Authorized Official Name and Position | Yolanda Evette Stafford (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 9124642998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Godly Hand - House Calls Llc 221 N Hogan St # 320 Jacksonville FL 32202-4201 Ph: (912) 464-2998 | Godly Hand - House Calls Llc 221 N Hogan St # 320 Jacksonville FL 32202-4201 Ph: (912) 464-2998 |
| NPI Number | 1972111797 |
|---|---|
| Provider Enumeration Date | 07/17/2020 |
| Last Update Date | 08/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972111797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
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