Individual provider · Type 1 NPI
Jaquice Lavette Oliver, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Tavares, FL
NPI number
1790639862
Active
Practice location
2905 Canary Ln
Tavares, FL 32778-5635
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2025111670 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1790639862
Jaquice Lavette Oliver, PMHNP-BC's National Provider Identifier is 1790639862, issued on Feb 24, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tavares, FL. The record was last updated on Feb 24, 2026.