Individual
JAYNA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
630 SW PALMETTO CV, PORT ST LUCIE, FL 34986-2019
(772) 971-6775
Mailing address
630 SW PALMETTO CV, PORT ST LUCIE, FL 34986-2019
(772) 971-6775
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9334939
FL
363LG0600X
Gerontology Nurse Practitioner
ARNP9334939
FL
363LP2300X
Primary Care Nurse Practitioner
ARNP9334939
FL
Other
Enumeration date
06/29/2015
Last updated
07/30/2015
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