Individual
ELJESS CLERVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
9401 CORKSCREW PALMS CIR STE300, ESTERO, FL 33928
(239) 690-6906
Mailing address
2435 QUENTIN AVENUE SOUTH, LEHIGH ACRES, FL 33973
(239) 895-2317
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11035550
FL
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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