Equisential Primary Healthcare, LLC
NPI #1073155107 in Port St Lucie, Florida
Provider Information
- NPI Number
- 1073155107
- Entity Type
- Organization
- Organization Name
- Equisential Primary Healthcare, LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Oct 10, 2019
- Last Updated
- May 8, 2020
Practice Location
- Address
- 2637 SW IMPORT DR
- City
- Port St Lucie
- State
- Florida
- ZIP Code
- 34987-2056
- Phone
- (772) 342-3794
Authorized Official
- Name
- CLAUDETTE JOHNSTON-CREARY, APRN
- Title
- OWNER
- Phone
- (772) 342-3794
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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