Individual
ANDREA MARCELA HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, APRN, MSN
Contact information
Practice address
12412 SAN JOSE BLVD STE 304D, JACKSONVILLE, FL 32223-8620
(904) 706-1551
(888) 440-2789
Mailing address
12412 SAN JOSE BLVD STE 304D, JACKSONVILLE, FL 32223-8620
(904) 706-1551
(888) 440-2789
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9334235
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11032921
FL
Other
Enumeration date
10/18/2018
Last updated
03/14/2025
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