Individual
JEFF C JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5962 WILLOWS BRIDGE LOOP, ELLENTON, FL 34222-5217
(423) 315-4100
Mailing address
5962 WILLOWS BRIDGE LOOP, ELLENTON, FL 34222-5217
(423) 315-4100
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
842454
NY
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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