Organization
PREMIER PSYCHIATRIC AND PRIMARY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY EILEEN JEAN-LOUIS NP (NURSE PRACTITIONER)
(407) 987-3933
Entity
Organization
Contact information
Practice address
9305 OGLETHORPE DRIVE, GROVELAND, FL 34736
(407) 987-3933
(407) 987-3933
Mailing address
2582 MAGUIRE RD STE 224, OCOEE, FL 34761-4749
(407) 269-4935
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
01/08/2025
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