# PREMIER PSYCHIATRIC AND PRIMARY HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275389397
- **Authorized official:** KELLY EILEEN JEAN-LOUIS NP (NURSE PRACTITIONER)
- **Authorized official phone:** (407) 987-3933

## Contact information

- **Practice address:** 9305 OGLETHORPE DRIVE, GROVELAND, FL 34736
- **Practice address phone:** (407) 987-3933
- **Practice address fax:** (407) 987-3933
- **Mailing address:** 2582 MAGUIRE RD STE 224, OCOEE, FL 34761-4749
- **Mailing address phone:** (407) 269-4935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/29/2024
- **Last updated:** 01/08/2025