Organization
EMBRACING BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN ANN MCCLINTON DNP PMHNP-BC, FNP-C (MANAGER/PMHNP)
(904) 710-8636
Entity
Organization
Contact information
Practice address
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258-9486
(904) 465-2407
Mailing address
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258-9486
(904) 710-8636
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013605400
—
FL
Enumeration date
07/08/2022
Last updated
05/12/2023
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