Individual
JUSTIN ROSS HOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1285 VISTA HILLS DR, LAKELAND, FL 33813-5642
(863) 698-2089
Mailing address
1285 VISTA HILLS DR, LAKELAND, FL 33813-5642
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9314595
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9314595
FL
Other
Enumeration date
03/02/2018
Last updated
04/15/2020
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