Individual
KEVIN ATWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
4243 SUNBEAM RD STE 1, JACKSONVILLE, FL 32257-8975
(855) 209-3255
Mailing address
155 TOWN VILLAGE BLVD APT 2303, MEXICO BEACH, FL 32456-7212
(855) 209-3255
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0027591
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11018552
FL
Other
Enumeration date
09/23/2020
Last updated
09/26/2024
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