Individual
JERMILLA AUGUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7201 N UNIVERSITY DR, TAMARAC, FL 33321-2913
(954) 721-2200
Mailing address
3621 NW 5TH PL, LAUDERHILL, FL 33311-7517
(954) 624-5600
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11013288
FL
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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