Individual
ALLYSON L FORTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
32 W GORE ST, ORLANDO, FL 32806-1134
(407) 649-6879
(321) 841-8582
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN1006808
FL
363LG0600X
Gerontology Nurse Practitioner
APRN11006808
FL
363LP2300X
Primary Care Nurse Practitioner
APRN11006808
FL
Other
Enumeration date
12/26/2020
Last updated
08/04/2023
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