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NPI Code Detail

MEDICARE: HAZEL DEAN FRASIER PMHNP

MEDICARE: HAZEL DEAN FRASIER PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner0024176919VA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerARNP9170160FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437493285
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAZEL DEAN FRASIER PMHNP
Provider Business Mailing Address
First Line : 9995 GATE PKWY N STE 100
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32246-0800
Country : US
Telephone Number : 833-769-3524
Fax Number : 706-410-1490
Provider Business Practice Location Address
First Line : 9995 GATE PKWY N STE 100
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32246-0800
Country : US
Telephone Number : 833-769-3524
Fax Number : 706-410-1490
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2012
Last Update Date : 11/05/2025

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Directions to “ HAZEL DEAN FRASIER PMHNP” Practice Location

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