Individual
TAMARA PATRICE NEILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHMNP
Contact information
Practice address
3425 BAYSIDE LAKES BLVD SE STE 103, PALM BAY, FL 32909-6867
(321) 353-8763
Mailing address
128 ALDEA DR, SEBASTIAN, FL 32958-6949
(772) 646-8618
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11042384
FL
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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