Individual
JANE CLARISSA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 NW 5TH AVE, OKEECHOBEE, FL 34972-2568
(863) 261-8354
Mailing address
308 NW 5TH AVE, OKEECHOBEE, FL 34972-2568
(863) 261-8354
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP9436138
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9436138
FL
Other
Enumeration date
07/27/2017
Last updated
04/04/2023
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