Provider Demographics
NPI:1215795133
Name:SLOMAN, JOSEPHINE ANNE (FNP-C)
Entity type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:ANNE
Last Name:SLOMAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:JOSEPHINE
Other - Middle Name:ANNE
Other - Last Name:SLOMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:15536 W COLONIAL DR STE B
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-9571
Mailing Address - Country:US
Mailing Address - Phone:407-736-6735
Mailing Address - Fax:
Practice Address - Street 1:15536 W COLONIAL DR STE B
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-9571
Practice Address - Country:US
Practice Address - Phone:407-736-6735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-06
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11031673363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily