Soufyane Bourass
Soufyane Bourass is a Nurse Practitioner in Saint Augustine, Florida. Qualified in 2021, 5 years ago. Practices with Elite Psychiatry Specialist, a 2-clinician group and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 5
- Licensed in
- FL
- In the registry since
- 2022
Practice location Address checks out
1400 Old Dixie HwySaint Augustine, FL 32084-4190
Phone: (904) 824-0724
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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 · Licence APRN11017959 (FL) |
|---|
Record details
| NPI number | 1306590633 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 6, 2022 |
| Last updated in NPPES | August 3, 2022 |
| Certification date | June 10, 2022 |
| Mailing address | 88 Lochnagar Mountain Dr, Saint Johns, FL 32259-6672 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Elite Psychiatry Specialist — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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