Individual provider · Type 1 NPI
Jacqueline Ann Lucas, APRN
Psychiatric/Mental Health Nurse Practitioner · Bradenton, FL
NPI number
1811567217
Active
Practice location
379 6th Ave W
Bradenton, FL 34205-8820
Fax (941) 782-4104
Mailing address
1091 Waterline Ct
Sarasota, FL 34240-2357
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN9508148 (FL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN11016206 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1811567217
Jacqueline Ann Lucas, APRN's National Provider Identifier is 1811567217, issued on Jun 28, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bradenton, FL. The record was last updated on Aug 7, 2025.