Search › Florida › Psychiatric/Mental Health Nurse Practitioner
Jack Facundus, ARNP
NPI 1376092809 · on the registry since 2016 · sole proprietor
Practice
- Address
- 651 W Warren Ave Ste 100
Longwood, FL 32750 - Phone
- (321) 999-9617
- Organisation at this address
- Crc Health Treatment Clinics, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Additional practice sites
- 1650 Berkshire Ave, Winter Park, FL
- 919 E 2nd St, Sanford, FL
- 1 Medical Center Dr, Lebanon, NH
- 24 Railroad St, Keene, NH
Registry record
- Primary taxonomy
- Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Also registered as
- 363LF0000X
363LF0000X - Licence states on file
- FL, NH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida