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Individual

MR. JARRYD D LUNGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, APRN, PMHNP-BC

Contact information

Practice address
2837 1ST AVE N, SAINT PETERSBURG, FL 33713-8603
(727) 334-1546
(727) 608-2974
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9382656
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9382656
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CNP3773
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
012808400
FL
Enumeration date
06/17/2014
Last updated
03/07/2024
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