Individual
CARLA A SCHLENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
165 WELLS RD, SUITE 404, ORANGE PARK, FL 32073-3035
(904) 264-3111
(904) 264-3213
Mailing address
1543 KINGSLEY AVE STE 14, ORANGE PARK, FL 32073-4570
(904) 264-6977
(904) 269-0870
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP2010112
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN2010112
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004580500
—
FL
01
—
APRN2010112
STATE LICENSE
FL
01
—
DD947U
MEDICARE
FL
Enumeration date
04/06/2007
Last updated
03/07/2023
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