# BRIGHT BEHAVIORAL HEALTH, PLLC

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

## Provider details

- **NPI number:** 1174128300
- **Authorized official:** DR. DIANA OLIVER APRN (MANAGER)
- **Authorized official phone:** (904) 643-7532

## Contact information

- **Practice address:** 8825 PERIMETER PARK BLVD STE 601, JACKSONVILLE, FL 32216-1122
- **Practice address phone:** (904) 643-7532
- **Mailing address:** 8825 PERIMETER PARK BLVD STE 601, JACKSONVILLE, FL 32216-1122
- **Mailing address phone:** (904) 643-7532
- **Mailing address fax:** (904) 372-6219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/04/2020
- **Last updated:** 12/04/2020