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Organization
VONETTA NICOLE PSYCHIATRY
Active
Organization
VONETTA NICOLE PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VONETTA NICOLE ERSKINE PMHNP-BC (OWNER/CEO)
(772) 708-9728
Entity
Organization
Contact information
Practice address
1345 N FALKENBURG RD, TAMPA, FL 33619-0945
(813) 388-8189
(813) 537-8718
Mailing address
1345 N FALKENBURG RD, TAMPA, FL 33619-0945
(813) 388-8189
(813) 537-8718
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111656100
—
FL
Enumeration date
12/13/2022
Last updated
07/14/2023
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