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Impact 13 Medical, Pllc
Psychiatric/Mental Health Nurse Practitioner in Jacksonville, Florida
NPI 1548805617

Impact 13 Medical, Pllc is a Psychiatric/Mental Health Nurse Practitioner based in Jacksonville, FL and is specialized in Psychiatric/Mental Health. Impact 13 Medical, Pllc practices in Jacksonville, FL. The NPI Number for Impact 13 Medical, Pllc is 1548805617 and holds a License No. (Florida).

The current practice location address for Impact 13 Medical, Pllc is 10752 Deerwood Park Blvd, Jacksonville, FL and can be reached out via phone at 904-755-1017 and via fax at 646-774-0386.

Location: 10752 Deerwood Park Blvd, Jacksonville, FL, 32256-8666
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548805617
Provider Name
Impact 13 Medical, Pllc
Credential
Provider Entity Type
Organization
Address
10752 Deerwood Park Blvd, Jacksonville, FL, 32256-8666
Phone Number
904-755-1017
Fax Number
646-774-0386
Provider Enumeration Date
11/13/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
10752 Deerwood Park Blvd
City
Jacksonville
State
Florida
Zip
32256
Phone Number
904-755-1017
Fax Number
646-774-0386
person
Provider Business Mailing Address Details
Address
10752 Deerwood Park Blvd
City
Jacksonville
State
Florida
Zip
32256
Phone Number
904-755-1017
Fax Number
646-774-0386
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
()
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
()
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Geriatric Psychiatry
Taxonomy
2084P0805X
License No.
()
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
person
Provider's Taxonomy Details 5
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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