Individual
MS. IVY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
7420 DWELL WELL WAY APT 1302, WINTER PARK, FL 32792-8930
(954) 654-1741
Mailing address
8530 NW 47TH ST, CORAL SPRINGS, FL 33067-3407
(954) 654-1741
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9488738
FL
Other
Enumeration date
06/23/2020
Last updated
04/09/2024
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