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Individual

JOSEPHINE A SCHANDORF TWUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
452 FOREST MEADOW LN, ORANGE PARK, FL 32065-5618
(904) 755-8744
Mailing address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-0411

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11010819
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10114
FL
Enumeration date
12/29/2020
Last updated
12/29/2020
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