Individual
DR. OLIVIA JANELLE DE JONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CPNP-BC
Contact information
Practice address
424 NE 6TH ST APT D, GAINESVILLE, FL 32601-5576
(941) 661-3170
Mailing address
424 NE 6TH ST APT D, GAINESVILLE, FL 32601-5576
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11009325
FL
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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