Individual
LASEANE JAMELLE PLATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6028 CHESTER AVE STE 200, JACKSONVILLE, FL 32217-2285
(904) 274-2863
(904) 467-3137
Mailing address
6028 CHESTER AVE STE 200, JACKSONVILLE, FL 32217-2285
(904) 616-8313
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
2152461
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120463600
—
FL
Enumeration date
05/17/2021
Last updated
08/02/2024
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