Organization
SERENITY PSYCHIATRY GROUP INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATARA TAYLOR PMHNP, FNP - BC (PMHNP, FNP - BC)
(904) 200-8978
Entity
Organization
Contact information
Practice address
14518 CHERRY LAKE DR W, JACKSONVILLE, FL 32258-5140
(904) 200-8978
(904) 644-5443
Mailing address
14518 CHERRY LAKE DR W, JACKSONVILLE, FL 32258-5140
(904) 200-8978
(904) 644-5443
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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