Individual provider · Type 1 NPI

Soufyane Bourass

Psychiatric/Mental Health Nurse Practitioner · St. Augustine, FL

NPI number 1306590633 Active

Practice location

1400 Old Dixie Hwy
St. Augustine, FL 32084-4190

Mailing address

88 Lochnagar Mountain Dr
St. Johns, FL 32259-6672

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN11017959 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1306590633

Soufyane Bourass's National Provider Identifier is 1306590633, issued on Feb 6, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Augustine, FL. The record was last updated on Aug 3, 2022.