| Doctor Name: | DR. SANDRA JAFFE COLVETT |
| NPI Number: | 1730116765 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP3279632 |
| Business Practice Address: | 560 Se Port St. Lucie Blvd Port St. Lucie, FL - 349845108 |
| Business Phone Number: | 7725795615 |
| Business Fax Number: | 7728731846 |
| Mailing Address: | 560 Se Port St. Lucie Blvd, PORT ST. LUCIE |
| State: | FL |
| Postal Code: | 349845108 |
| Phone Number: | 7725795615 |
| Fax Number: | 7728731846 |
| NPI Enumeration Date: | 06/26/2006 |
| NPI Last Update Date: | 12/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | ARNP3279632 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |