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 09, 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 23 months 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.