Individual
MRS. MELISSA SUE TITUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3840 BELFORT RD STE 302, JACKSONVILLE, FL 32216-8210
(904) 503-3579
Mailing address
3840 BELFORT RD STE 302, JACKSONVILLE, FL 32216-8210
(904) 503-3579
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9315016
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11014942
FL
Other
Enumeration date
06/05/2021
Last updated
08/20/2021
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