Healthcare Provider Details

I. General information

NPI: 1033073291
Provider Name (Legal Business Name): ERICA SCHULTE PHNP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 ROBERTS VILLAGE CT STE 1602
SAINT JOHNS FL
32259-9580
US

IV. Provider business mailing address

139 ROBERTS VILLAGE CT STE 1602
SAINT JOHNS FL
32259-9580
US

V. Phone/Fax

Practice location:
  • Phone: 904-506-1876
  • Fax: 905-339-9427
Mailing address:
  • Phone: 904-506-1876
  • Fax: 905-339-9427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ERICA SCHULTE PM
Title or Position: OWNER/PROVIDER
Credential: PMHNP
Phone: 904-506-1876