Individual
RISA SHULER DORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP, CS
Contact information
Practice address
11820 BEACH BLVD, JACKSONVILLE, FL 32246-6670
(904) 642-9100
(904) 642-9108
Mailing address
PO BOX 19249, JACKSONVILLE, FL 32245-9249
(904) 743-1883
(904) 743-5109
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP1091102
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
304944
UNITED BEHAVIORAL HEALTH
FL
05
—
761639200
—
FL
Enumeration date
11/13/2006
Last updated
08/19/2009
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