Graciela Teresita Gallo, RN
Nurse Practitioner in Jacksonville, FL. Individual provider (NPI-1).
NPI number1336792829
StatusActive
Last updated in NPPESNov 19, 2019
Details
- NPI
- 1336792829
- Entity type
- Individual (NPI-1)
- Name
- Graciela Teresita Gallo
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2019
- Last updated
- Nov 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN11004910 | FL | Yes |
| 2084N0402X | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | RN9335226 | FL | |
| 363L00000X | Nurse Practitioner | RN9335226 | FL |
Practice location
807 Childrens WayJacksonville, FL 32207-8426
Phone 904-697-3600 · Fax 904-697-3601
Mailing address
10140 Centurion Pkwy NJacksonville, FL 32256-0532
Phone 904-697-4000 · Fax 904-697-5102
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