ARTISTIC PSYCHIATRIC ASSOCIATES LLC


Address: 9550 Regency Square Blvd Ste 903, Jacksonville, FL 32225-8116
Phone: 9047256463

ARTISTIC PSYCHIATRIC ASSOCIATES LLC (NPI# 1407320690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407320690
Entity Type Organization
Organization Name ARTISTIC PSYCHIATRIC ASSOCIATES LLC
Practice Address 9550 Regency Square Blvd Ste 903
Jacksonville
FL 32225-8116
Practice Telephone 9047256463
Mailing Telephone 9047256463
Enumeration Date 2019-01-22
Last Update Date 2019-01-22
Authorized Official Name LYNETTE KENNISON (OWNER)
Authorized Official Telephone 9049827060
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
Allopathic & Osteopathic Physicians
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 9550 REGENCY SQUARE BLVD STE 903
City JACKSONVILLE
State FL
Zip Code 32225-8116

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053933903 James Tully Nurse Practitioner 9550 Regency Square Blvd Ste 903, Jacksonville, FL 32225-8116 2020-05-14
1992367544 Corinne Marie Ryan Nurse Practitioner 9550 Regency Square Blvd Ste 903, Jacksonville, FL 32225-8116 2019-07-03

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1720691843 Eralene Manangan Nurse Practitioner 4205 Belfort Rd Ste 4030, Jacksonville, FL 32216-1475 2020-08-28
1306456025 Richard Mercer Nurse Practitioner 3545 Saint Johns Bluff Rd S Ste 137, Jacksonville, FL 32224-2682 2020-08-06
1467060434 Rebecca Bertone Nurse Practitioner 8540 Turkey Oaks Dr S, Jacksonville, FL 32277-2920 2020-07-16
1861018616 Octavia J Robertson Nurse Practitioner 3562 Boone Park Ave, Jacksonville, FL 32205-8433 2020-06-17
1902428568 Kimberly J Grant Nurse Practitioner 8680 Baymeadows Rd E Apt 1413, Jacksonville, FL 32256-4002 2020-05-17
1447710900 Shannska Atis Nurse Practitioner 580 W 8th St Fl II5, Jacksonville, FL 32209-6533 2019-03-21
1811462237 Dzenefa Ramic Nurse Practitioner 10175 Fortune Pkwy Unit 206, Jacksonville, FL 32256-6748 2018-10-11
1851871024 Shakhia Grant Nurse Practitioner 3636 University Blvd S Ste B, Jacksonville, FL 32216-4223 2018-08-17
1295230845 Lacey Cawthron Nurse Practitioner 8130 Baymeadows Cir W Ste 109, Jacksonville, FL 32256-1837 2018-03-27
1083116107 Kbn Healthcare, Pllc Nurse Practitioner 9471 Baymeadows Rd Ste 3, Jacksonville, FL 32256-7932 2018-03-05
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Competitor

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City JACKSONVILLE
Zip Code 32225

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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