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BANUELOS PSYCHIATRIC MENTAL HEALTHCARE LLC
NPI 1043710288
Nurse Practitioner - Psychiatric/Mental Health in Milton, FL

Active since February 14, 2018
6061 DOCTORS PARK, MILTON, FL 32570(850) 983-8500(850) 983-0009 Get Directions Write a Review

NPPES record last updated: February 14, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Banuelos Psychiatric Mental Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANUELOS PSYCHIATRIC MENTAL HEALTHCARE LLC (NPI 1043710288) is a healthcare organization registered as a psychiatric/mental health in Milton, Florida and active in the NPI registry since February 2018. The organization lists Jennifer Michelle Banuelos, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1043710288
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBANUELOS PSYCHIATRIC MENTAL HEALTHCARE LLC
Location Address6061 DOCTORS PARKMilton, FL 32570-5073
Mailing Address6061 Doctors ParkMilton, FL 32570-5073 · (850) 983-8500 · Fax (850) 983-0009
Phone(850) 983-8500
Fax(850) 983-0009
Organization SubpartNo
Authorized OfficialJennifer Michelle BanuelosNurse Practitioner · (850) 983-8500
Enumeration DateFebruary 14, 2018
✔ NPI 1043710288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
6061 DOCTORS PARK, Milton, FL 32570
Open in Google Maps ↗

Other Identifiers 1

Medicaid020592000FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BANUELOS FAMILY MEDICINE, LLC
Family Medicine
6061 DOCTORS PARK
MILTON, FL 32570
Santa Rosa County (850) 983-8500
ASHLEY JENKINS
Registered Nurse
6061 DOCTORS PARK
MILTON, FL 32570
Santa Rosa County (856) 553-5483

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Banuelos Psychiatric Mental Healthcare LLC's NPI number?

The NPI number for Banuelos Psychiatric Mental Healthcare LLC is 1043710288. It was assigned to this organization in the NPPES registry on February 14, 2018.

Where is Banuelos Psychiatric Mental Healthcare LLC located?

Banuelos Psychiatric Mental Healthcare LLC is located at 6061 Doctors Park, Milton, FL 32570. The listed phone number is (850) 983-8500.

What is Banuelos Psychiatric Mental Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Banuelos Psychiatric Mental Healthcare LLC was last updated on February 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.