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

First Coast Community Wellness Services LLC

Organization Adult Health Nurse Practitioner · NPI 1336879097

First Coast Community Wellness Services LLC is an Adult Health Nurse Practitioner in Jacksonville, Florida. Registered with an NPI since 2022.

In the registry since
2022
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

5610 Fort Caroline Rd
Jacksonville, FL 32277-1799
Phone: (904) 374-4637
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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
Adult Health Nurse Practitioner Taxonomy 363LA2200X

Record details

NPI number1336879097
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Monica Johnson — Mgr · (904) 497-2192
NPI enumeratedJune 15, 2022
Last updated in NPPESMay 23, 2023
Certification dateMay 23, 2023
Mailing address11712 Pleasant Creek Dr, Jacksonville, FL 32218-7566

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