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Organization

JACKSONVILLE PSYCH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JESSICA GREGORY APRN (APRN, OWNER)
(904) 330-4059
Entity
Organization

Contact information

Practice address
12058 SAN JOSE BLVD., SUITE 404-C, JACKSONVILLE, FL 32223-8666
(904) 708-9220
Mailing address
12058 SAN JOSE BLVD., SUITE 404-C, JACKSONVILLE, FL 32223-8666
(904) 708-9220

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
12/06/2021
Last updated
12/06/2021
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