Individual
JACOB READ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC, FNP-C
Contact information
Practice address
336 WILSHIRE BLVD STE 238-120, CASSELBERRY, FL 32707-5370
(865) 213-2834
(835) 213-5169
Mailing address
336 WILSHIRE BLVD STE 238-120, CASSELBERRY, FL 32707-5370
(865) 213-2834
(835) 213-5169
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
CNP-02824
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60650859
WA
Other
Enumeration date
01/05/2016
Last updated
06/23/2025
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