Individual provider · Type 1 NPI

Godlive Desravines, APRN

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

NPI number 1750072518 Active

Practice location

1880 San Sebastian Vw Ste 4201
St. Augustine, FL 32084-8684

Mailing address

150 Magnolia Ave
Daytona Beach, FL 32114-4304

Other practice locations

  • 4620 N 22nd St, Tampa, FL 33610-6205 · (813) 397-5300

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN11023834 (FL)

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

4 other providers at this address

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About NPI 1750072518

Godlive Desravines, APRN's National Provider Identifier is 1750072518, issued on May 15, 2023. 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 14, 2026.