Healthcare Provider Details

I. General information

NPI: 1568938488
Provider Name (Legal Business Name): ANDREA MARCELA HOUSE PMHNP-BC, APRN, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2018
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7855 ARGYLE FOREST BOULEVARD SUITE 802
ORANGE PARK FL
32065-2644
US

IV. Provider business mailing address

7855 ARGYLE FOREST BLVD STE 802
JACKSONVILLE FL
32244-7706
US

V. Phone/Fax

Practice location:
  • Phone: 904-314-1288
  • Fax: 888-440-2789
Mailing address:
  • Phone: 904-706-1551
  • Fax: 888-440-2789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11032921
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9334235
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: