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NPI Code Detail

MEDICARE: MRS. JOAN SALOMON BRISE ARNP, PMHNP, AGPCNP

MEDICARE: MRS. JOAN SALOMON BRISE ARNP, PMHNP, AGPCNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerAPRN9183763FL
2363LG0600XGerontology Nurse PractitionerAPRN9183763FL
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN9183763FL

General Provider Information

NPI Number : 1528472511
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JOAN SALOMON BRISE ARNP, PMHNP, AGPCNP
Provider Business Mailing Address
First Line : PO BOX 616788
Second Line :
City : ORLANDO
State : FL
Zip : 32861-6788
Country : US
Telephone Number : 407-447-7120
Fax Number : 407-770-0661
Provider Business Practice Location Address
First Line : 200 E ROBINSON ST STE 425
Second Line :
City : ORLANDO
State : FL
Zip : 32801-4347
Country : US
Telephone Number : 407-787-9777
Fax Number : 407-583-4988
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2014
Last Update Date : 06/06/2023

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