Healthcare Provider Details

I. General information

NPI: 1629774955
Provider Name (Legal Business Name): LOVANY PIERRE PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2023
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1046 E BRANDON BLVD STE 11
BRANDON FL
33511-5509
US

IV. Provider business mailing address

1046 E BRANDON BLVD STE 11
BRANDON FL
33511-5509
US

V. Phone/Fax

Practice location:
  • Phone: 239-380-3728
  • Fax:
Mailing address:
  • Phone: 239-380-3728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11024391
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: