Individual
MS. JEMMA SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2884 MOONSTONE BND, KISSIMMEE, FL 34758-2543
(407) 922-4282
Mailing address
2884 MOONSTONE BND, KISSIMMEE, FL 34758-2543
(407) 922-4282
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP2697802
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2697802
FL
Other
Enumeration date
11/19/2015
Last updated
05/25/2021
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