Individual provider · Type 1 NPI

Divina Mercado Pridham, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Jacksonville, FL

NPI number 1962082693 Active

Practice location

555 Stockton St
Jacksonville, FL 32204-2534

Call (904) 547-9468 Map

Mailing address

1335 Ryar Rd
Jacksonville, FL 32216-2802

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	APRN11012297 (FL)

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

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About NPI 1962082693

Divina Mercado Pridham, PMHNP's National Provider Identifier is 1962082693, issued on Apr 8, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 18, 2024.