Individual
BRIANNA ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6399 NW SWEETWOOD DR, PORT SAINT LUCIE, FL 34987-5856
(520) 465-6617
Mailing address
6399 NW SWEETWOOD DR, PORT SAINT LUCIE, FL 34987-5856
(520) 465-6617
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95339533
CA
163W00000X
Registered Nurse
Primary
9672791
FL
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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