Individual
JOHARI PATRICE FAISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
725 N 12TH AVE, ARCADIA, FL 34266-8752
(863) 494-1242
(863) 491-0466
Mailing address
700 8TH AVE W STE 101, PALMETTO, FL 34221-4737
(941) 776-4000
(941) 845-4963
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11016744
FL
Other
Enumeration date
02/21/2022
Last updated
03/01/2022
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