| NPI | 1457043622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN HILL Psychiatric Nurse Practitioner 904-463-7833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-09-22 |