Individual
JOCELYN MOSELLE WILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
6201 SE PHILLIPS BEND AVE, STUART, FL 34997-8176
(716) 440-7839
Mailing address
6201 SE PHILLIPS BEND AVE, STUART, FL 34997-8176
(716) 440-7839
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F307748
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
11011027
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04604202
—
FL
Enumeration date
10/14/2016
Last updated
10/06/2021
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