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Contact Information

CHERYL S ODONOGHUE, FNP-BC
96279 BRADY POINT RD.
FERNANDINA BEACH, FL32034
 Phone: 912-882-6767
 Fax: 912-882-6411
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CHERYL S ODONOGHUE · (Female)

NPI # 1194081521
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 04/10/2012
Last updated 01/11/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN062128
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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