Individual
DR. JEREMY MICHAEL SCOTT TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP- PMHNP
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0001
(352) 265-7981
Mailing address
2140 STADIUM RD, GAINESVILLE, FL 32612-0001
(352) 273-3390
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11027329
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11027329
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119053800
—
FL
Enumeration date
07/13/2023
Last updated
08/15/2023
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