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General NPI Number Information
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NPI Number | 1538083134
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Entity Type | Organization
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Legal Business Name | RENEWED HORIZONS PSYCHIATRY PLLC
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 9310 OLD KINGS RD S STE 701
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City | JACKSONVILLE
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State | FL
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Zip | 32257-6178
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Country | US
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Telephone | 904-834-1345
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Fax |
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Provider Business Mailing Address
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Address Line | 9310 OLD KINGS RD S STE 701
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City | JACKSONVILLE
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State | FL
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Zip | 32257-6178
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Country | US
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Telephone | 904-834-1345
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Fax |
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Authorized Official
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Title or Position | OWNER/ MANAGER
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Name | MINA HANNA
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Credential | APRN, PMHNP-BC
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Telephone | 205-200-0690
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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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