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

Octavia J Robertson, NURSEPRACTITIONER

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1861018616

Octavia J Robertson, NURSEPRACTITIONER is a Psychiatric/Mental Health Nurse Practitioner in Jacksonville, Florida. Licensed in Florida and New Mexico. Registered with an NPI since 2020.

Licensed in
FL, NM
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1536 N Jefferson St
Jacksonville, FL 32209-6525
Phone: (904) 475-6311
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 · Licence APRN11013255 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 62090 (NM)

Record details

NPI number1861018616
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJune 17, 2020
Last updated in NPPESOctober 14, 2021
Certification dateOctober 14, 2021

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