Individual
EMITENNE DALESTIN JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
331 SE HUSTED TER, PORT ST LUCIE, FL 34983-2650
(772) 882-1436
Mailing address
331 SE HUSTED TER, PORT ST LUCIE, FL 34983-2650
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11042338
FL
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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