Healthcare Provider Details

I. General information

NPI: 1316877830
Provider Name (Legal Business Name): HALEY SWAIN DNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HALEY NADER

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 MARSH LANDING BLVD STE 100
JACKSONVILLE BEACH FL
32250-1416
US

IV. Provider business mailing address

4300 MARSH LANDING BLVD STE 100
JACKSONVILLE BEACH FL
32250-1416
US

V. Phone/Fax

Practice location:
  • Phone: 904-686-8055
  • Fax: 904-686-8105
Mailing address:
  • Phone: 904-686-8055
  • Fax: 904-686-8105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11047665
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: