Individual
MS. JANE PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2578 66TH TER S, ST PETERSBURG, FL 33712-5608
(803) 616-3112
Mailing address
2578 66TH TER S, ST PETERSBURG, FL 33712-5608
(803) 616-3112
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9486153
FL
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
03793
CT
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
4266
SC
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
F401380
NY
Other
Enumeration date
10/17/2008
Last updated
11/11/2018
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