Organization · Type 2 NPI
Livality Integrated Health
Psychiatric/Mental Health Nurse Practitioner · Middleburg, FL
NPI number
1194507962
Active
Practice location
1620 Corsair Ln Ste 201
Middleburg, FL 32068-8484
Fax (833) 740-3601
Mailing address
1075 Oakleaf Plantation Pkwy, Suite 304, Box 317
Orange Park, FL 32065
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1194507962
Livality Integrated Health's National Provider Identifier is 1194507962, issued on Oct 17, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Middleburg, FL. The record was last updated on Oct 17, 2023.