Individual provider · Type 1 NPI

Priscila Simon Jose, FNP-BC

Family Nurse Practitioner · Lake City, FL

NPI number 1861228272 Active

Practice location

340 NW Commerce Dr
Lake City, FL 32055-4709

Mailing address

7480 S State Road 121
Macclenny, FL 32063-5450

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X11035219 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1861228272

Priscila Simon Jose, FNP-BC's National Provider Identifier is 1861228272, issued on Sep 11, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake City, FL. The record was last updated on Sep 11, 2024.