Basic Information
Provider Information
NPI: 1538773304
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEELY
FirstName: JOYMARIE
MiddleName: JENNIFER
NamePrefix: MRS.
NameSuffix:  
Credential: CNM, APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 25317
Address2:  
City: TAMPA
State: FL
PostalCode: 336225317
CountryCode: US
TelephoneNumber: 8132860033
FaxNumber: 8132821806
Practice Location
Address1: 6885 BELFORT OAKS PL STE 300
Address2:  
City: JACKSONVILLE
State: FL
PostalCode: 322166284
CountryCode: US
TelephoneNumber: 9042962441
FaxNumber: 9048213113
Other Information
ProviderEnumerationDate: 08/31/2020
LastUpdateDate: 10/26/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/26/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LX0001X11005200FLN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
367A00000XAPRN11005200FLY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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