EMBRACING BEHAVIORAL HEALTH NPI 1184357923

NPI Information

NPI: 1184357923
Provider Name: EMBRACING BEHAVIORAL HEALTH
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL
ZIP 32258
Phone: (904) 465-2407
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EMBRACING BEHAVIORAL HEALTH is a psychiatric/mental health nurse practitioner in Jacksonville, FL. EMBRACING BEHAVIORAL HEALTH NPI is 1184357923. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL
ZIP 32258-486
Phone: (904) 465-2407

The provider's authorized official is Carolyn Ann Mcclinton .
The authorized official title is Manager/pmhnp and has the following contact phone number (904) 710-8636.

The enumeration date for this NPI number is 7/8/2022 and was last updated on 5/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	013605400	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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