# TOTAL HEALTH RESTORATION LLC

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

## Provider details

- **NPI number:** 1245153469
- **Authorized official:** ANISSA BRISBANE ARNP (OWNER)
- **Authorized official phone:** (904) 525-1456

## Contact information

- **Practice address:** 2764 IVY POST DR, JACKSONVILLE, FL 32226-1290
- **Practice address phone:** (904) 525-1456
- **Mailing address:** 2764 IVY POST DR, JACKSONVILLE, FL 32226-1290
- **Mailing address phone:** (904) 525-1456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2026
- **Last updated:** 08/03/2026