Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | ARNP9221394 | FL |
N | 363LP2300X | Nurse Practitioner - Primary Care | ARNP9221394 | FL |
NPI | 1003355710 |
---|---|
Provider Name | Jossener Joseph |
First Address | Wellington, FL 33414-7643 |
Second Address | Wellington, FL 33414-7643 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2017 |
Last Update Date | 20/06/2019 |