Individual
JULIANNE MICHELLE WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL 32827-7593
(321) 340-3490
(321) 340-4755
Mailing address
13017 NW 14TH ST, PEMBROKE PINES, FL 33028-2720
(954) 646-1804
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9515449
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11028704
FL
Other
Enumeration date
12/07/2022
Last updated
04/16/2024
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