Healthcare Provider Details

I. General information

NPI: 1649145228
Provider Name (Legal Business Name): RIVER CITY INTEGRATIVE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1808 UNIVERSITY BLVD S
JACKSONVILLE FL
32216-8931
US

IV. Provider business mailing address

1808 UNIVERSITY BLVD S
JACKSONVILLE FL
32216-8931
US

V. Phone/Fax

Practice location:
  • Phone: 904-583-3030
  • Fax: 904-341-5455
Mailing address:
  • Phone: 904-583-3030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: LINDSAY ELIZABETH DRAKE
Title or Position: OWNER
Credential: ARNP
Phone: 904-583-3030