Healthcare Provider Details

I. General information

NPI: 1760811194
Provider Name (Legal Business Name): MARIA REED MSN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2013
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1409 KINGSLEY AVE STE 8
ORANGE PARK FL
32073-4553
US

IV. Provider business mailing address

1409 KINGSLEY AVE STE 8
ORANGE PARK FL
32073-4553
US

V. Phone/Fax

Practice location:
  • Phone: 904-269-7200
  • Fax:
Mailing address:
  • Phone: 904-269-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number11035907
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN9356279
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: