Individual
JAQUICE LAVETTE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2905 CANARY LN, TAVARES, FL 32778-5635
(850) 688-0239
Mailing address
2905 CANARY LN, TAVARES, FL 32778-5635
(850) 688-0239
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025111670
FL
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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