Individual
JONATHAN WOOLVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
227 LOOKOUT DR, APOLLO BEACH, FL 33572-2664
(813) 502-9070
Mailing address
227 LOOKOUT DR, APOLLO BEACH, FL 33572-2664
(813) 409-4587
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9505164
FL
363L00000X
Nurse Practitioner
Primary
APRN11012483
FL
Other
Enumeration date
03/05/2021
Last updated
04/07/2021
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