Individual provider · Type 1 NPI
Tracy S. Ervin
Psychiatric/Mental Health Nurse Practitioner · Jacksonville, FL
NPI number
1508286212
Active
Practice location
580 W 8th St, Box T-11
Jacksonville, FL 32209-6533
Mailing address
388 SW 62nd Blvd Apt 7
Gainesville, FL 32607-2050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | ARNP9328203 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1508286212
Tracy S. Ervin's National Provider Identifier is 1508286212, issued on Apr 21, 2014. 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 Jun 12, 2015.