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MRS. DIVINA MERCADO PRIDHAM PMHNP
NPI 1962082693
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL

Active since April 08, 2021
555 STOCKTON ST, JACKSONVILLE, FL 32204(904) 547-9468 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 18, 2024, Apr 8, 2021 (2 updates tracked since 2021).

About Mrs. Divina Mercado Pridham Pmhnp NPPES

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

MRS. DIVINA MERCADO PRIDHAM PMHNP (NPI 1962082693) is an individual psychiatric/mental health provider in Jacksonville, Florida, licensed in Florida (APRN11012297) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1962082693
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. DIVINA MERCADO PRIDHAMCredential: PMHNP
Location Address555 STOCKTON STJacksonville, FL 32204-2534
Mailing Address1335 Ryar RdJacksonville, FL 32216-2802 · (904) 651-4525
Phone(904) 547-9468
Sole ProprietorNo
Enumeration DateApril 8, 2021
Last NPPES UpdateJune 18, 20242 updates tracked since enumeration
NPPES CertifiedDecember 11, 2023
✔ NPI 1962082693 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 · APRN11012297
555 STOCKTON ST, Jacksonville, FL 32204
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

ANTWONETTE JOHNSON LPN
Licensed Practical Nurse
555 STOCKTON ST
JACKSONVILLE, FL 32204
Duval County (904) 387-4661
MISS ELIZABETH DENISE JACKSON LPN
Licensed Practical Nurse
555 STOCKTON ST
JACKSONVILLE, FL 32204
Duval County (904) 387-4661
BLONDEVA BETHEL PEER SPECIALIST
Peer Specialist
555 STOCKTON ST
JACKSONVILLE, FL 32204
Duval County (904) 387-4667
DR. CANDACE CLARK HODGKINS LMHC
Counselor (Mental Health)
555 STOCKTON ST
JACKSONVILLE, FL 32204
Duval County (904) 387-4661
NICHOLS JAMES SMITH CRSS
Peer Specialist
555 STOCKTON ST
JACKSONVILLE, FL 32204
Duval County (904) 387-4661
GLENN GILBERT LPN
Licensed Practical Nurse
555 STOCKTON ST
JACKSONVILLE, FL 32204
Duval County (904) 387-4661
ORION LIGHTLY CRPS
Peer Specialist
555 STOCKTON ST
JACKSONVILLE, FL 32204
Duval County (904) 577-9908
LAKEISHA GREENE MS
Counselor
555 STOCKTON ST
JACKSONVILLE, FL 32204
Duval County (904) 387-4661

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 Divina Pridham's NPI number?

The NPI number for Divina Pridham is 1962082693. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Where is Divina Pridham located?

Divina Pridham practices at 555 Stockton St, Jacksonville, FL 32204. The listed phone number is (904) 547-9468.

What is Divina Pridham's specialty?

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

What insurance does Divina Pridham accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Divina Pridham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Divina Pridham was last updated on June 18, 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.