Banuelos Psychiatric Mental Healthcare LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Milton, FL
NPI 1043710288 · NPPES record last updated Feb 14, 2018
Key facts
- NPI
- 1043710288
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- BANUELOS PSYCHIATRIC MENTAL HEALTHCARE LLC
- Practice address
- 6061 Doctors Park
Milton, FL 32570-5073 - Phone
- (850) 983-8500
- Fax
- (850) 983-0009
- NPI assigned
- Feb 14, 2018
- Organization subpart
- No
Authorized official
- Name
- Mrs. Jennifer Michelle Banuelos, ARNP
- Title
- Nurse Practitioner
- Phone
- (850) 983-8500
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
6061 Doctors Park
Milton, FL 32570-5073
Mailing address
6061 Doctors Park
Milton, FL 32570-5073
Phone (850) 983-8500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020592000 | Medicaid | FL |
Other providers in Milton, FL
- Kim Baker
- Kimberlee Baksh
- Ashley Nicole Balderas
- Christina Olivia Marie Baltimore Sr.
- Banuelos Family Medicine, LLC
- Chad Michael Barden
- Samantha Rena Barfield
- Gracie Barnes
- James A Barnes
- Marsha Chrisitina Barnes
All providers in Milton, FL · Psychiatric/Mental Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.