Individual
PATRICE JENEANE LONGWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
83 W MILLER ST, ORLANDO, FL 32806-2031
(321) 841-5198
Mailing address
8466 RIVER BRANCH PL, SANFORD, FL 32771-8357
(407) 925-1489
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
9230232
FL
Other
Enumeration date
07/08/2013
Last updated
11/16/2022
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