MS. DOROTHEA MYLES JATTAN PMHNP NPI 1013753839

NPI Information

  • NPI: 1013753839
  • Provider Name: MS. DOROTHEA MYLES JATTAN, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 4510 WATER OAK LN
    JACKSONVILLE, FL
    ZIP 32210
  • Phone: (305) 978-4309

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NPI Details

MS. Dorothea Myles Jattan, PMHNP is a psychiatric/mental health nurse practitioner in Jacksonville, FL. MS. Dorothea Myles Jattan, PMHNP NPI is 1013753839. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4510 WATER OAK LN
JACKSONVILLE, FL
ZIP 32210-535
Phone: (305) 978-4309

The enumeration date for this NPI number is 7/2/2024 and was last updated on 7/2/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health11033775FLORIDAYes

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: 3/30/2025

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