Individual
JAANA COOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
285 CLYDE MORRIS BLVD STE 300, ORMOND BEACH, FL 32174-8144
(386) 262-1627
(386) 262-1628
Mailing address
4310 METRO PKWY STE 205, FORT MYERS, FL 33916-9416
(239) 236-8784
(239) 790-2624
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11023125
FL
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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