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Individual

JESSIE DAPHENEY LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
801 BRICKELL AVE STE 900, MIAMI, FL 33131-2979
(888) 684-2779
Mailing address
3801 NW 21ST ST APT 105, LAUDERDALE LAKES, FL 33311-3159

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11017446
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
C-RXN.0002270-C-NP
CO

Other

Enumeration date
01/27/2022
Last updated
05/11/2023
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