Individual
CHELSIE CHENILLE TOLER BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP, APRN
Contact information
Practice address
103 CENTURY 21 DR STE 213, JACKSONVILLE, FL 32216-9295
(904) 475-2039
Mailing address
12716 BLACK ANGUS DR, JACKSONVILLE, FL 32226-5837
(904) 554-1835
(904) 289-8702
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11014972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11014972
ARNP
FL
05
—
111717500
—
FL
05
—
122118400
—
FL
01
—
9307397
BOARD OF NURSING
FL
Enumeration date
08/25/2021
Last updated
10/13/2025
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