Individual
LISANDRA DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4725 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-4668
(954) 267-7700
Mailing address
402 SW 158TH TER APT 204, PEMBROKE PINES, FL 33027-1122
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11022354
FL
Other
Enumeration date
07/20/2022
Last updated
07/10/2024
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