Jill Driest, Ph.D.
Psychologist in Jacksonville, FL. Individual provider (NPI-1).
NPI number1083041925
StatusActive
Last updated in NPPESOct 14, 2013
Details
- NPI
- 1083041925
- Entity type
- Individual (NPI-1)
- Name
- Jill Driest
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 10, 2013
- Last updated
- Oct 14, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | PY 8881 | FL | Yes |
Practice location
6867 Southpoint Dr NJacksonville, FL 32216-8043
Phone 904-619-6071
Mailing address
6867 Southpoint Dr NJacksonville, FL 32216-8043
Phone 904-619-6071
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