Organization
PAM RILLSTONE, PHD, CNS, BC, CT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAM RILLSTONE PHD, ARNP, CNS (MANAGER)
(904) 610-2761
Entity
Organization
Contact information
Practice address
6817 SOUTHPOINT PKWY, STE 304, JACKSONVILLE, FL 32216-6282
(904) 296-3113
(904) 296-3144
Mailing address
13801 VICTORIA LAKES DR, JACKSONVILLE, FL 32226-4898
(904) 610-2761
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
ARNP 1247222
FL
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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