Stephane Ilunga, RN
Registered Nurse in Gainesville, FL. Individual provider (NPI-1).
NPI number1073071007
StatusActive
Last updated in NPPESOct 12, 2023
Details
- NPI
- 1073071007
- Entity type
- Individual (NPI-1)
- Name
- Stephane Ilunga
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2019
- Certification date
- Oct 12, 2023
- Last updated
- Oct 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN9639167 | FL | Yes |
| 164W00000X | Licensed Practical Nurse | PN5236771 | FL |
Practice location
4300 Sw 13th StGainesville, FL 32608-4006
Phone 352-374-5600
Mailing address
4300 Sw 13th StGainesville, FL 32608-4006
Phone 352-374-5600
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