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Organization
BALANCED MENTAL HEALTH INC
Active
Organization
BALANCED MENTAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMIN PERRY APRN, PMHNP-BC, FNP (OWNER/PROVIDER)
(727) 382-3538
Entity
Organization
Contact information
Practice address
15280 DURANGO CIR, BROOKSVILLE, FL 34604-5003
(727) 382-3538
(727) 416-7061
Mailing address
15280 DURANGO CIR, BROOKSVILLE, FL 34604-5003
(727) 382-3538
(727) 416-7061
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018080999
ANCC PMHNP-BC CERTIFICATION
—
01
—
9311097
ADVANCED PRACTICE REGISTERED NURSE
FL
Enumeration date
11/03/2022
Last updated
11/07/2022
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