Individual
MS. SUSAN M ARCHACKI-RESNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP-FPMHNP-BC
Contact information
Practice address
5610 FORT CAROLINE RD STE 3, JACKSONVILLE, FL 32277-1794
(800) 457-4573
Mailing address
5610 FORT CAROLINE RD STE 3, JACKSONVILLE, FL 32277-1794
(800) 457-4573
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP1914742
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001788100
—
FL
01
—
CT364X
MEDICARE PTAN
FL
Enumeration date
06/16/2008
Last updated
04/03/2025
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