JILL HERMAN NELSON, PA
Ambulatory Health at Federal Hwy, Stuart, FL

License number
Florida PY7022
Category
Ambulatory Health
Type
Adult Mental Health
Owner
Name: DR. JILL ANGELA HERMAN NELSON PSY.D.
Title: CLINICAL PSYCHOLOGIST
Phone: (772) 285-2227
Address
Address
611 SW Federal Hwy SUITE C, Stuart, FL 34994
National Provider ID: 1174558373
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Jill Herman Nelson, PA

Stuart, FL

Status:
Inactive
Registration:
Mar 24, 2006
Addresses:
8940 SW Chrysler Cir, Stuart, FL 34997
611 SW Federal Hwy, Stuart, FL 34994
State ID:
P06000043364
Business type:
Domestic for Profit Corporation
President, Director:
Jill Herman Nelson President, Director, inactive

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