Provider Demographics
NPI:1437712783
Name:TORRES, JANNISSE (APRN)
Entity Type:Individual
Prefix:
First Name:JANNISSE
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 PARLIAMENT LOOP
Mailing Address - Street 2:SUITE 1005
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-3560
Mailing Address - Country:US
Mailing Address - Phone:407-688-9446
Mailing Address - Fax:407-688-9448
Practice Address - Street 1:147 PARLIAMENT LOOP
Practice Address - Street 2:SUITE 1005
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3560
Practice Address - Country:US
Practice Address - Phone:407-688-9446
Practice Address - Fax:407-688-9448
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9260004363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily