Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rodaphne Advanced Healthcare Provider, LLC

Organization Nurse Practitioner · NPI 1417870783

Rodaphne Advanced Healthcare Provider, LLC is a Nurse Practitioner in Port Saint Lucie, Florida. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1860 SW Fountainview Blvd Ste 100
Port Saint Lucie, FL 34986-4528
Phone: (772) 207-4900
Fax: (772) 404-7936
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1417870783
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kettelene McMorris — Owner/Nurse Practitioner · (754) 366-1406
NPI enumeratedAugust 3, 2026
Last updated in NPPESAugust 3, 2026
Certification dateJuly 15, 2026
Mailing address1860 Sw Fountainview Blvd Ste 100, Port Saint Lucie, FL 34986-4528

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