Individual provider · Type 1 NPI

Lucna Henrisme, MD

Student in an Organized Health Care Education/Training Program · Jacksonville, FL

NPI number 1235928516 Active

Practice location

11555 Central Pkwy Ste 903
Jacksonville, FL 32224-2701

Call (318) 996-8168 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X1235928516 (FL)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3 other providers at this address

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About NPI 1235928516

Lucna Henrisme, MD's National Provider Identifier is 1235928516, issued on May 3, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 26, 2025.