# PRIME PSYCHIATRY AND WELLNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prime Psychiatry and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174407696
- **Authorized official:** KYLEE JENISE DALTON AUTONOMOUS APRN (PMHNP-BC)
- **Authorized official phone:** (850) 377-2769

## Contact information

- **Practice address:** 4519 WOODBINE RD, PACE, FL 32571-8706
- **Practice address phone:** (850) 806-1668
- **Practice address fax:** (850) 806-1668
- **Mailing address:** 5958 CHERRY HILL CIR, PACE, FL 32571-9211
- **Mailing address phone:** (850) 377-2769
- **Mailing address fax:** (850) 202-9917

## 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:** 08/05/2025
- **Last updated:** 11/03/2025