Individual
SHAHZAADE CHARISSE MACLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5028
(901) 661-1213
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(901) 661-1213
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
35303
TN
Other
Enumeration date
12/12/2023
Last updated
03/12/2025
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