MEDICARE: CHRISTOPHER MENZ, APRN, PMHNP-BC, PLLC

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

General Provider Information

NPI Number	:	1770453722
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTOPHER MENZ, APRN, PMHNP-BC, PLLC

Provider Business Mailing Address
First Line	:	3539 PHYLLIS ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32205-5409
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3539 PHYLLIS ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32205-5409
Country	:	US
Telephone Number	:	904-747-6650
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTOPHER MENZ
Credential	:	APRN
Telephone Number	:	281-782-9873

Provider Enumeration Date	:	11/06/2025
Last Update Date	:	11/06/2025

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