Provider Demographics
NPI:1134344302
Name:PARDUE, ELEANOR F (NEONATAL NURSE PRACT)
Entity type:Individual
Prefix:MS
First Name:ELEANOR
Middle Name:F
Last Name:PARDUE
Suffix:
Gender:F
Credentials:NEONATAL NURSE PRACT
Other - Prefix:MS
Other - First Name:ELEANOR
Other - Middle Name:F
Other - Last Name:DUTY-PARDUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NEONATAL NURSE PRACT
Mailing Address - Street 1:2080 CHILD ST NAVAL HOSPITAL AT JACKSONVILLE
Mailing Address - Street 2:MOTHER INFANT UNIT
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32212
Mailing Address - Country:US
Mailing Address - Phone:904-322-9582
Mailing Address - Fax:904-542-7046
Practice Address - Street 1:2080 CHILD ST NAVAL HOSPITAL AT JACKSONVILLE
Practice Address - Street 2:MOTHER INFANT UNIT
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32212
Practice Address - Country:US
Practice Address - Phone:904-322-9582
Practice Address - Fax:904-542-7046
Is Sole Proprietor?:No
Enumeration Date:2007-04-14
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9164683363LN0000X
FLRN9459062363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal