Individual
JOHNATHON TREVINO WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6310 BEACH BLVD, JACKSONVILLE, FL 32216-2708
(904) 614-8850
(904) 551-9701
Mailing address
8229 HORSEBIT CIR, JACKSONVILLE, FL 32219-3545
(904) 614-8850
(904) 551-9701
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11046345
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN9521848
FL
Other
Enumeration date
01/16/2026
Last updated
04/28/2026
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