Provider Demographics
NPI:1760613103
Name:EPPERSON STEVEN, JONI MELISSA (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:JONI
Middle Name:MELISSA
Last Name:EPPERSON STEVEN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:JONI
Other - Middle Name:MELISSA
Other - Last Name:EPPERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3215 WINTER LAKE RD
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803
Mailing Address - Country:US
Mailing Address - Phone:863-419-3322
Mailing Address - Fax:855-777-2344
Practice Address - Street 1:3215 WINTER LAKE RD
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803
Practice Address - Country:US
Practice Address - Phone:863-419-3322
Practice Address - Fax:855-777-2344
Is Sole Proprietor?:No
Enumeration Date:2009-08-03
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9213726363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily