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Organization

RODAPHNE ADVANCED HEALTHCARE PROVIDER, LLC

Active
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Organization

RODAPHNE ADVANCED HEALTHCARE PROVIDER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KETTELENE PHILOGENE MCMORRIS DNP, FNP, PMHNP (OWNER/NURSE PRACTITIONER)
(754) 366-1406
Entity
Organization

Contact information

Practice address
1860 SW FOUNTAINVIEW BLVD STE 100, PORT SAINT LUCIE, FL 34986-4528
(772) 207-4900
(772) 404-7936
Mailing address
1860 SW FOUNTAINVIEW BLVD STE 100, PORT SAINT LUCIE, FL 34986-4528
(772) 207-4900
(772) 404-7936

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—

Other

Enumeration date
08/03/2026
Last updated
08/03/2026
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