Individual
MARCIA OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
12724 GRAN BAY PKWY W, JACKSONVILLE, FL 32258-9485
(608) 322-7750
Mailing address
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258-9486
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11027446
FL
Other
Enumeration date
07/11/2023
Last updated
08/21/2023
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