Individual
MR. JAMES WENDELL PREVATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1507 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3205
(813) 333-1186
(844) 691-5928
Mailing address
2590 HEALING WAY STE 310, WESLEY CHAPEL, FL 33543-5497
(813) 333-1186
(844) 691-5928
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9546404
FL
363L00000X
Nurse Practitioner
Primary
APRN11030621
FL
363LF0000X
Family Nurse Practitioner
APRN11030621
FL
Other
Enumeration date
06/12/2023
Last updated
11/20/2024
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