Gerry Surrency, PMHNP-BC, ARNP
Nurse Practitioner, Psych/Mental Health in Orange Park, FL. Individual provider (NPI-1).
Details
- NPI
- 1457771016
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gerry Surrency
- Credential
- PMHNP-BC, ARNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2014
- Certification date
- Aug 31, 2021
- Last updated
- Aug 31, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | ARNP3174792 | FL | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | APRN3174792 | FL |
Practice location
1895 Kingsley Ave Ste 403Orange Park, FL 32073-4453
Phone 904-300-4341 · Fax 904-300-4341
Mailing address
1895 Kingsley Ave Ste 403Orange Park, FL 32073-4453
Phone 904-300-4341
Other practice locations
Lake Butler, FL 32054-5721
Phone 386-496-6000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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