Individual provider · Type 1 NPI
Alice Lillian Abdur-Razzaaq, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Jacksonville, FL
NPI number
1245063494
Active
Practice location
1636 Shadowood Lane, Suite 120
Jacksonville, FL 32207-2187
Fax (904) 725-9694
Mailing address
1636 Shadowood Ln Ste 120
Jacksonville, FL 32207-2187
Other practice locations
- 2631 Forbes St, Jacksonville, FL 32204-4224 · (619) 483-9330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN11034345 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1245063494
Alice Lillian Abdur-Razzaaq, PMHNP's National Provider Identifier is 1245063494, issued on Aug 22, 2024. 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 Aug 22, 2024.