Organization · Type 2 NPI
Lysal Prof. Mktg. & Home Healthcare Mngmt. Group Inc
Community Health Nurse Practitioner · Jacksonville, FL
NPI number
1902295512
Active
Practice location
7225 Sharbeth Dr S
Jacksonville, FL 32210-4753
Fax (904) 573-2610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | MH8370 (FL) |
| Community Health Nurse Practitioner Primary | 363LC1500X | ARNP9300116 (FL) |
Community Health Nurse Practitioner: Definition to come...
About NPI 1902295512
Lysal Prof. Mktg. & Home Healthcare Mngmt. Group Inc's National Provider Identifier is 1902295512, issued on Jan 20, 2015. The primary taxonomy on file is Community Health Nurse Practitioner (363LC1500X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 20, 2015.