EBONY L MAYNARD

License Number: APRN11017985

Data As Of 6/25/2024

Profession Advanced Practice Registered Nurse
License APRN11017985
License Status CLEAR/Active
Qualifications Nurse Practitioner Autonomous Practice APRN
License Expiration Date 4/30/2025
License Original Issue Date 02/07/2022
Address of Record 152 N Harbor City Blvd
Suite 100
MELBOURNE, FL 32935
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) No
Discipline on File No
Public Complaint No

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