Individual
JEANNE VAN EEPOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
717 SW MARTIN LUTHER KING JR AVE, OCALA, FL 34471-1435
(813) 666-2714
(352) 565-4131
Mailing address
150 MAGNOLIA AVE, DAYTONA BEACH, FL 32114-4304
(352) 565-7518
(352) 565-4131
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024169126
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9495822
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12368341
CAQH
MD
Enumeration date
03/07/2011
Last updated
06/30/2023
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