Individual
MRS. JENNIFER DEMAISIP TRAVERSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
735 DUNLAWTON AVE, PORT ORANGE, FL 32127-9226
(888) 808-0488
(386) 872-4232
Mailing address
4667 HIDDEN LAKE DR, PORT ORANGE, FL 32129-4086
(386) 281-7978
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3416832
FL
Other
Enumeration date
09/12/2017
Last updated
10/15/2024
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