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MRS. DIVINA MERCADO PRIDHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
555 STOCKTON ST, JACKSONVILLE, FL 32204-2534
(904) 547-9468
Mailing address
1335 RYAR RD, JACKSONVILLE, FL 32216-2802
(904) 651-4525

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11012297
FL

Other

Enumeration date
04/08/2021
Last updated
06/18/2024
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