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

Collaborative Adult Psychiatry LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1003614645

Collaborative Adult Psychiatry LLC is a Psychiatric/Mental Health Nurse Practitioner in Jacksonville, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

12412 San Jose Blvd Ste 304D
Jacksonville, FL 32223-8620
Phone: (904) 706-1551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1003614645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea House — Owner And Primary Provider · (904) 525-0896
NPI enumeratedMarch 7, 2025
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025
Mailing address12412 San Jose Blvd Ste 304d, Jacksonville, FL 32223-8620

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