person
Ms. Mary Kathleen Schupp, ARNP
Family Nurse Practitioner in St Augustine, Florida
NPI 1851445860

Mary Kathleen Schupp is a Family Nurse Practitioner based in St Augustine, FL and is specialized in Family. Mary Kathleen Schupp practices in St Augustine, FL and has the professional credentials of ARNP. The NPI Number for Mary Kathleen Schupp is 1851445860 and holds a License No. ARNP1104662 (Florida).

The current practice location address for Mary Kathleen Schupp is 100 Whetstone Pl Ste 208, St Augustine, FL and can be reached out via phone at 904-447-7377.

Location: 100 Whetstone Pl Ste 208, St Augustine, FL, 32086-5775
person
Provider Profile Details
NPI Number
1851445860
Provider Name
Mary Kathleen Schupp
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
100 Whetstone Pl Ste 208, St Augustine, FL, 32086-5775
Phone Number
904-447-7377
Fax Number
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
020952200 05 FL
institution
Provider Business Practice Location Address Details
Address
100 Whetstone Pl Ste 208
City
State
Zip
32086-5775
Phone Number
904-447-7377
Fax Number
person
Provider Business Mailing Address Details
Address
100 Whetstone Pl Ste 208
City
State
Zip
32086-5775
Phone Number
904-447-7377
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
ARNP1104662 (Florida)
Definition
Definition to come...
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