MEDICARE: MARIE CHELDA JEAN PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11037055	FL

General Provider Information

NPI Number	:	1346055340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE CHELDA JEAN PMHNP-BC

Provider Business Mailing Address
First Line	:	1193 SE PORT ST LUCIE BLVD
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34952-5332
Country	:	US
Telephone Number	:	954-716-2424
Fax Number	:

Provider Business Practice Location Address
First Line	:	1193 SE PORT ST LUCIE BLVD
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34952-5332
Country	:	US
Telephone Number	:	954-716-2424
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2025
Last Update Date	:	02/08/2025

Similar Medicare Providers

1124160353 — JOHN R ISTAD D.C.
Practice Location Address:

1105 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL
34952-5332

Practice Phone: 772-398-5400
Practice Fax: 772-398-6600

1720381452 — JOHN R ISTAD PA
Practice Location Address:

1105 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL
34952-5332

Practice Phone: 772-398-5400
Practice Fax: 772-398-6600

1407194491 — TRYSTAL LAMPKIN
Practice Location Address:

1125 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL
34952-5332

Practice Phone: 772-335-9465
Practice Fax: 772-335-9893

1053045880 — WILNITE DANIEL DELINCE
Practice Location Address:

6730 NW PINSON CT
PORT SAINT LUCIE, FL
34983-5332

Practice Phone: 305-725-7664
Practice Fax:

1457880429 — MR. THEODORE COOPER LPCC
Practice Location Address:

2136 FORD PKWY # 5332
SAINT PAUL, MN
55116-2850

Practice Phone: 651-372-3688
Practice Fax:

1962703207 — PUBLIX SUPER MARKETS INC
Practice Location Address:

1125 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL
34952-5332

Practice Phone: 772-335-9465
Practice Fax: 772-335-9893

Directions to “ MARIE CHELDA JEAN PMHNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.