Individual
JACQUELYN MENNINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4300 MARSH LANDING BLVD, JACKSONVILLE BEACH, FL 32250-1416
(904) 686-8055
Mailing address
4300 MARSH LANDING BLVD STE 101, JACKSONVILLE BEACH, FL 32250-1419
(904) 686-8055
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11044947
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN9580280
FL
Other
Enumeration date
05/13/2025
Last updated
02/13/2026
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