Individual provider · Type 1 NPI

Jessica Sue Koontz

Psychiatric/Mental Health Registered Nurse · Orlando, FL

NPI number 1912772187 Active

Practice location

601 E Rollins St
Orlando, FL 32803-1248

Mailing address

9808 Montclair Cir
Apopka, FL 32703-1966

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808XRN9226923 (FL)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1912772187

Jessica Sue Koontz's National Provider Identifier is 1912772187, issued on Nov 17, 2023. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Orlando, FL. The record was last updated on Nov 17, 2023.