Provider Demographics
NPI:1154797470
Name:JOSEPH, JOCELIN (ARNP)
Entity type:Individual
Prefix:
First Name:JOCELIN
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 VISCAYA PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-3294
Mailing Address - Country:US
Mailing Address - Phone:239-849-9770
Mailing Address - Fax:239-236-1200
Practice Address - Street 1:1425 VISCAYA PKWY STE 101
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-3294
Practice Address - Country:US
Practice Address - Phone:239-849-9770
Practice Address - Fax:239-236-1200
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-20
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9259351103TB0200X, 146D00000X, 251G00000X, 281P00000X, 282E00000X, 302R00000X, 305R00000X
174400000X
FL9259351311ZA0620X
FLAPRN9259351363LF0000X
FLARNP9259531207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
No174400000XOther Service ProvidersSpecialist
No251G00000XAgenciesHospice Care, Community Based
No281P00000XHospitalsChronic Disease Hospital
No282E00000XHospitalsLong Term Care Hospital
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No305R00000XManaged Care OrganizationsPreferred Provider Organization
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily