Male or Other

Mr. Jordan J. Augustin APRN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner in Fort Lauderdale, FL(View on Map)

Full Name

Mr. Jordan J Augustin APRN, PMHNP-BC

NPI Number

1104336387

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/02/2017

Specialties

(Taxonomies)

Code

363LP0808X
363LP2300X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Florida

License Number

APRN9351187
ARNP9351187

Contact
Information

Purpose

Mailing
Location

Address

15385 SW 51ST ST
5100 N FEDERAL HWY STE 100

City

Davie
Fort Lauderdale

State

FL
FL

Postal Code

33331-2844
33308-3842

Country

US
US

Telephone Number

(954) 461-3172
(754) 777-6304

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/05/2023

Provider Address

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