Organization
BRIGHT BEHAVIORAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA OLIVER APRN (MANAGER)
(904) 643-7532
Entity
Organization
Contact information
Practice address
8825 PERIMETER PARK BLVD STE 601, JACKSONVILLE, FL 32216-1122
(904) 643-7532
Mailing address
8825 PERIMETER PARK BLVD STE 601, JACKSONVILLE, FL 32216-1122
(904) 643-7532
(904) 372-6219
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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