Individual
JUSTIN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1542 KINGSLEY AVE STE 136-137, ORANGE PARK, FL 32073-4586
(239) 690-6906
Mailing address
4153 FISHING CREEK LN, MIDDLEBURG, FL 32068-3986
(904) 210-4701
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11035870
FL
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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