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Organization
PAM RILLSTONE, PHD, CNS, BC, CT, PLLC
Active
Organization
PAM RILLSTONE, PHD, CNS, BC, CT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAM RILLSTONE PHD, ARNP, CNS (MANAGER)
(904) 610-2761
Entity
Organization
Contact information
Practice address
6817 SOUTHPOINT PKWY, STE 304, JACKSONVILLE, FL 32216-6282
(904) 296-3113
(904) 296-3144
Mailing address
13801 VICTORIA LAKES DR, JACKSONVILLE, FL 32226-4898
(904) 610-2761
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
ARNP 1247222
FL
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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