Individual provider · Type 1 NPI

Shiny Joseph

Family Nurse Practitioner · Leesburg, FL

NPI number 1801652151 Active

Practice location

600 E Dixie Ave
Leesburg, FL 34748-5925

Mailing address

30405 Tokara Ter
Mount Dora, FL 32757-7882

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X11031448 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1801652151

Shiny Joseph's National Provider Identifier is 1801652151, issued on Feb 26, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Leesburg, FL. The record was last updated on Feb 26, 2024.