Individual
PROF. KATHERINE W THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2055 REYKO RD STE 100, JACKSONVILLE, FL 32207-2822
(904) 648-8200
(904) 253-3270
Mailing address
4310 METRO PKWY STE 205, FORT MYERS, FL 33916-9416
(239) 236-8784
(239) 790-2624
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024193023
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11020816
FL
Other
Enumeration date
01/24/2023
Last updated
12/18/2025
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