Organization · Type 2 NPI
Jackie's Mental Health Management Services LLC
Psychiatric/Mental Health Nurse Practitioner · Yulee, FL
NPI number
1457043622
Active
Practice location
86147 Augustus Ave
Yulee, FL 32097-3881
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...
About NPI 1457043622
Jackie's Mental Health Management Services LLC's National Provider Identifier is 1457043622, issued on May 24, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Yulee, FL. The record was last updated on Nov 6, 2025.