BETH ANN MEDINA NPI 1235264482

NPI Information

NPI: 1235264482
Provider Name: BETH ANN MEDINA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
13241 BARTRAM PARK BLVD UNIT 301
JACKSONVILLE, FL
ZIP 32258
Phone: (904) 268-1696
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Beth Ann Medina is a mental health counselor in Jacksonville, FL. Beth Ann Medina NPI is 1235264482. 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:

13241 BARTRAM PARK BLVD UNIT 301
JACKSONVILLE, FL
ZIP 32258
Phone: (904) 268-1696
Fax: (844) 864-3674

The enumeration date for this NPI number is 2/21/2007 and was last updated on 7/30/2018.

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	101YM0800X	Counselor	Mental Health	MH6748	FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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