Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APRN11015888 | FL |
NPI | 1033871538 |
---|---|
Provider Name | Ms. Madeline Japp |
First Address | Altamonte Springs, FL 32714-2537 |
Second Address | Altamonte Springs, FL 32714-2537 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2021 |
Last Update Date | 26/11/2021 |