Organization · Type 2 NPI
Crystal Clear Mental Health LLC
Psychiatric/Mental Health Nurse Practitioner · Jacksonville, FL
NPI number
1053279224
Active
Practice location
6858 Jack Horner Ln
Jacksonville, FL 32210-3618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1053279224
Crystal Clear Mental Health LLC's National Provider Identifier is 1053279224, issued on Jan 14, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 23, 2026.