Individual
JAMIE MABERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
915 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-4530
(321) 441-8749
Mailing address
915 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-4530
(321) 441-8749
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP8280
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11028445
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120382500
—
FL
01
—
R0206
MEDICARE HF
FL
Enumeration date
11/24/2015
Last updated
01/07/2026
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