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Organization
ASSURED PSYCHIATRY PLLC
Active
Organization
ASSURED PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EL BERRY (CREDENTIALING MANAGER)
(469) 915-4211
Entity
Organization
Contact information
Practice address
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258-9486
(800) 573-5010
Mailing address
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258-9486
(800) 573-5010
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
04/20/2024
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