Organization
COLLABORATIVE ADULT PSYCHIATRY LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA M HOUSE PMHNP-BC (OWNER AND PRIMARY PROVIDER)
(904) 525-0896
Entity
Organization
Contact information
Practice address
12412 SAN JOSE BLVD STE 304D, JACKSONVILLE, FL 32223-8620
(904) 706-1551
Mailing address
12412 SAN JOSE BLVD STE 304D, JACKSONVILLE, FL 32223-8620
(904) 706-1551
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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