Individual
DR. HANSIE CAMILLE JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, AGNP-BC
Contact information
Practice address
5900 LAKE ELLENOR DR, ORLANDO, FL 32809-4618
(321) 557-7347
Mailing address
5900 LAKE ELLENOR DR STE 700C, ORLANDO, FL 32809-4618
(407) 352-2542
(407) 352-2547
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
9247498
FL
363LG0600X
Gerontology Nurse Practitioner
APRN11024097
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11024097
FL
Other
Enumeration date
11/18/2020
Last updated
04/17/2024
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