Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bay Harbor Health and Wellness LLC

Organization Nurse Practitioner · NPI 1790615813

Bay Harbor Health and Wellness LLC is a Nurse Practitioner in Jacksonville, Florida. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12627 San Jose Blvd Ste 204
Jacksonville, FL 32223-8638
Phone: (423) 715-8037
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1790615813
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Meredith Brainard — Sole Member · (423) 715-8037
NPI enumeratedMay 20, 2026
Last updated in NPPESMay 20, 2026
Certification dateMay 12, 2026
Mailing address101 Paradise Valley Dr, Ponte Vedra, FL 32081-6123

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