Individual
ANN MELISSA JOLIVAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10676 COLONIAL BLVD STE 20, FORT MYERS, FL 33913-8715
(239) 288-7949
Mailing address
142 TRADEWINDS DR NW, PORT CHARLOTTE, FL 33952-6644
(941) 855-1084
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11034369
FL
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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