Individual
AMY JO PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Contact information
Practice address
1701 SE HILLMOOR DR STE 4, PORT ST LUCIE, FL 34952-7552
(772) 528-2498
Mailing address
705 NE STOKES TER, JENSEN BEACH, FL 34957-3735
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9177508
FL
363LG0600X
Gerontology Nurse Practitioner
ARNP9177508
FL
Other
Enumeration date
09/13/2017
Last updated
07/08/2019
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