Individual
JACQUELIN LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
7236 STONEROCK CIR, ORLANDO, FL 32819-8000
(321) 841-6444
(407) 650-1307
Mailing address
7236 STONEROCK CIR, ORLANDO, FL 32819-8000
(321) 841-6444
(407) 370-5820
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11025951
FL
363LF0000X
Family Nurse Practitioner
11025951
FL
Other
Enumeration date
08/18/2023
Last updated
01/22/2024
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