Jose Felix Revollo
Jose Felix Revollo is a Registered Nurse in Fort Washington, Maryland. Practices as a sole proprietor. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
703 Clamor CtFort Washington, MD 20744-5170
Phone: (201) 757-4005
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Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence R239041 (MD) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence R239041 (MD) |
Record details
| NPI number | 1013553502 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 20, 2019 |
| Last updated in NPPES | July 8, 2026 |
| Certification date | July 8, 2026 |
| Mailing address | 703 Clamor Ct, Fort Washington, MD 20744-5170 |
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