Individual
MIKIANTHA FRANCIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11820 BEACH BLVD, JACKSONVILLE, FL 32246-3224
(904) 642-9100
Mailing address
11820 BEACH BLVD, JACKSONVILLE, FL 32246-6670
(904) 642-9100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11003837
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11003837
FL
Other
Enumeration date
09/09/2019
Last updated
02/25/2022
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