Individual provider · Type 1 NPI

Judy Stovall Rivenbark, MD

Addiction Medicine (Psychiatry & Neurology) Physician · Jacksonville, FL

NPI number 1851672372 Active

Practice location

555 Stockton Street
Jacksonville, FL 32204

Mailing address

Post Office Box 15580
Fernandida Beach, FL 32035

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401XME81633 (FL)

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

3 other providers at this address

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About NPI 1851672372

Judy Stovall Rivenbark, MD's National Provider Identifier is 1851672372, issued on Aug 30, 2011. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 30, 2011.