Individual
JEANNE RYAN BOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
33920 US HIGHWAY 19 N STE 107, PALM HARBOR, FL 34684-2654
(727) 781-1000
(727) 330-7551
Mailing address
8002 KING HELIE BLVD, NEW PORT RICHEY, FL 34653-1435
(727) 841-4200
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1630102
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034829500
—
FL
Enumeration date
03/20/2006
Last updated
10/07/2022
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