Organization
RACHEL HOLLENBACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY C LU (CREDENTIALING MANAGER)
(904) 221-2535
Entity
Organization
Contact information
Practice address
4217 BAYMEADOWS RD STE 2, JACKSONVILLE, FL 32217-4676
(904) 332-7431
(904) 332-7408
Mailing address
4217 BAYMEADOWS RD STE 2, JACKSONVILLE, FL 32217-4676
(904) 332-7431
(904) 332-7408
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN3150732
FL
Other
Enumeration date
06/22/2017
Last updated
07/21/2022
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