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Mr. Jack Facundus, ARNP
Psychiatric/Mental Health Nurse Practitioner in Longwood, Florida
NPI 1376092809

Jack Facundus is a Psychiatric/Mental Health Nurse Practitioner based in Orlando, FL and is specialized in Psychiatric/Mental Health. Jack Facundus practices in Longwood, FL and has the professional credentials of ARNP. The NPI Number for Jack Facundus is 1376092809 and holds a License No. ARNP2824142 (Florida).

The current practice location address for Jack Facundus is 651 W Warren Ave Ste 100, Longwood, FL and can be reached out via phone at 321-999-9617.

Location: 651 W Warren Ave Ste 100, Longwood, FL, 32804-1317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376092809
Provider Name
Jack Facundus
Credential
ARNP
Provider Entity Type
Individual
Gender
Male
Address
651 W Warren Ave Ste 100, Longwood, FL, 32804-1317
Phone Number
321-999-9617
Fax Number
Provider Enumeration Date
09/26/2016
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F0416038 01 FL AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION PROGRAM
ARNP2824142 01 FL STATE OF FLORIDA ARNP LICENSE
institution
Provider Business Practice Location Address Details
Address
651 W Warren Ave Ste 100
City
Longwood
State
Florida
Zip
32750-4036
Phone Number
321-999-9617
Fax Number
person
Provider Business Mailing Address Details
Address
651 W Warren Ave Ste 100
City
Longwood
State
Florida
Zip
32750-4036
Phone Number
321-999-9617
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
090740-23 (New Hampshire)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
ARNP2824142 (Florida)
Definition
Definition to come...
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