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General NPI Number Information
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NPI Number | 1053274670
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Entity Type | Organization
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Legal Business Name | FLOURISH MENTAL HEALTH AND WELLNESS
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 1890 S 14TH ST BUILDING 100 STE 110
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034
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Country | US
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Telephone | 904-849-0889
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Fax | 904-849-0898
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Provider Business Mailing Address
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Address Line | 76020 WILLIAM BURGESS BLVD UNIT 5
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City | YULEE
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State | FL
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Zip | 32097-5490
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Country | US
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Telephone | 904-849-0889
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Fax | 904-849-0898
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Authorized Official
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Title or Position | PRESIDENT, OWNER
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Name | MALIA AMBER WEBER-PARKER
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Credential | PMHNP-BC, FNP-C
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Telephone | 413-205-7405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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