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

Individual provider Health Service Psychologist · NPI 1013573039

Antionette Jarshawn Miller-Maultsby is a Health Service Psychologist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
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Practice location Address checks out

4401 Will Scarlet Rd
Jacksonville, FL 32208-1154
Phone: (904) 352-0066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Psychologist (primary) Taxonomy 103TH0100X · Licence 103TH0100X (FL)

Record details

NPI number1013573039
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 15, 2019
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024

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