Individual
MARIE CHELDA JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1193 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5332
(954) 716-2424
Mailing address
1193 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5332
(954) 716-2424
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11037055
FL
Other
Enumeration date
02/08/2025
Last updated
02/08/2025
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