# BRAINWERKS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124884390
- **Authorized official:** NICOLE HILL APRN, PMHNP-BC (MANAGER)
- **Authorized official phone:** (904) 849-2566

## Contact information

- **Practice address:** 1406 KINGSLEY AVE STE F, ORANGE PARK, FL 32073-4528
- **Practice address phone:** (904) 849-2566
- **Practice address fax:** (904) 877-3641
- **Mailing address:** 1406 KINGSLEY AVE STE F, ORANGE PARK, FL 32073-4528
- **Mailing address phone:** (904) 849-2566
- **Mailing address fax:** (904) 877-3641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/26/2024
- **Last updated:** 09/20/2025
