Individual provider · Type 1 NPI
Shavanna King, PMHNP- BC
Psychiatric/Mental Health Nurse Practitioner · Middleburg, FL
NPI number
1487498630
Active
Practice location
1620 Corsair Ln Ste 201
Middleburg, FL 32068-8558
Mailing address
590 Chancellor Dr W
Jacksonville, FL 32225-8143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN9394466 (FL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN11033411 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1487498630
Shavanna King, PMHNP- BC's National Provider Identifier is 1487498630, issued on Jun 22, 2024. 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 Jan 23, 2025.