Organization
RADIANT PRIME
Active
Other names
Radiant Prime Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA NICOLE MCGLONE APRN (OWNER & CEO)
(813) 384-8050
Entity
Organization
Contact information
Practice address
7075 WADES MILL RD, MOUNT STERLING, KY 40353-8293
(813) 384-8050
(813) 336-8804
Mailing address
4948 REFLECTING POND CIR, WIMAUMA, FL 33598-4064
(813) 384-8050
(813) 336-8804
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
11/28/2024
Last updated
04/24/2025
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