Organization · Type 2 NPI
Modern Psychiatry and Wellness LLC
Psychiatric/Mental Health Nurse Practitioner · St. Petersburg, FL
NPI number
1730051368
Active
Practice location
7901 4th St N Ste 300
St. Petersburg, FL 33702-4399
Fax (904) 585-7190
Mailing address
2285 Kingsley Ave Ste A
Orange Park, FL 32073-5133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1730051368
Modern Psychiatry and Wellness LLC's National Provider Identifier is 1730051368, issued on Sep 23, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Petersburg, FL. The record was last updated on Oct 1, 2025.