Provider Demographics
NPI:1730678905
Name:WEBSTER, CHLOE DEE (ARNP)
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:DEE
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CHLOE
Other - Middle Name:DEE
Other - Last Name:HAIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:312B WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MARY ESTHER
Mailing Address - State:FL
Mailing Address - Zip Code:32569-1356
Mailing Address - Country:US
Mailing Address - Phone:850-368-0225
Mailing Address - Fax:
Practice Address - Street 1:800 PRUDENTIAL DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-8202
Practice Address - Country:US
Practice Address - Phone:904-244-3508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-03
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9312759363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal