Individual
CLORESSA DIZNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-4542
(386) 425-7705
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 226-4590
(386) 226-4577
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN9224394
FL
363LF0000X
Family Nurse Practitioner
Primary
ARNP9224394
FL
Other
Enumeration date
02/26/2017
Last updated
02/19/2020
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