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Individual

MEGAN BLEVINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, PMHNP-BC, FNP-C

Contact information

Practice address
1543 KINGSLEY AVE STE 701, ORANGE PARK, FL 32073-4535
(352) 462-9484
Mailing address
1543 KINGSLEY AVE STE 701, ORANGE PARK, FL 32073-4535
(904) 204-2495

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP9324673
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9324673
FL
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
APRN9324673
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019601900
FL
01
P01775869
RR MEDICARE
FL
Enumeration date
12/14/2016
Last updated
08/04/2021
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