Individual
JESSICA VAN TONGEREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
8013 NW 15TH MNR, PLANTATION, FL 33322-5448
(954) 805-2941
Mailing address
8013 NW 15TH MNR, PLANTATION, FL 33322-5448
(954) 805-2941
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11044808
FL
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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