Individual
JESSICA NICOLE BALOK-ANGELILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5510 N HESPERIDES ST, TAMPA, FL 33614-5414
(813) 467-6111
Mailing address
5510 N HESPERIDES ST, TAMPA, FL 33614-5414
(813) 467-6111
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11022315
FL
Other
Enumeration date
10/14/2022
Last updated
08/07/2024
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