MRS. ALICE LILLIAN ABDUR-RAZZAAQ PMHNP
NPI 1245063494
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL

Q: What is Alice Abdur-razzaaq's NPI number?

The NPI number for Alice Abdur-razzaaq is 1245063494. It was assigned to this individual provider in the NPPES registry on August 22, 2024.

Q: What is Alice Abdur-razzaaq's specialty?

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

Active since August 22, 2024

1636 SHADOWOOD LANE, SUITE 120, JACKSONVILLE, FL 32207(904) 725-9701(904) 725-9694 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mrs. Alice Lillian Abdur-razzaaq Pmhnp NPPES

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

MRS. ALICE LILLIAN ABDUR-RAZZAAQ PMHNP (NPI 1245063494) is an individual psychiatric/mental health provider in Jacksonville, Florida, licensed in Florida (APRN11034345) and active in the NPI registry since August 2024. She maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1245063494

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. ALICE LILLIAN ABDUR-RAZZAAQCredential: PMHNP

Location Address1636 SHADOWOOD LANE, SUITE 120Jacksonville, FL 32207-2187

Mailing Address1636 Shadowood Ln Ste 120Jacksonville, FL 32207-2187 · (904) 725-9701 · Fax (904) 725-9694

Phone(904) 725-9701

Fax(904) 725-9694

Sole ProprietorYes

Enumeration DateAugust 22, 2024

NPPES CertifiedAugust 22, 2024

✔ NPI 1245063494 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

License✔ Licensed in FL · APRN11034345

1636 SHADOWOOD LANE, Jacksonville, FL 32207

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Secondary Practice Location 1

Location 12631 Forbes StJacksonville, FL 32204-4224 · Phone (619) 483-9330

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 Alice Abdur-razzaaq's NPI number?

The NPI number for Alice Abdur-razzaaq is 1245063494. It was assigned to this individual provider in the NPPES registry on August 22, 2024.

Where is Alice Abdur-razzaaq located?

Alice Abdur-razzaaq practices at 1636 Shadowood Lane Suite 120, Jacksonville, FL 32207. The listed phone number is (904) 725-9701.

What is Alice Abdur-razzaaq'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 Alice Abdur-razzaaq was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.