Latisha Michelle Blanchard, PMHNP - Nurse Practitioner in Green Cove Springs, FL

Latisha Michelle Blanchard, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Green Cove Springs, Florida. Latisha Michelle Blanchard is licensed to practice in Florida (license number APRN11007925) and her current practice location is 623 Oak St, Green Cove Springs, Florida. She can be reached at her office (for appointments etc.) via phone at (904) 531-9752.

NPI number for Latisha Michelle Blanchard is 1619595733 and her current mailing address is 141 Dosel Ln, St Augustine, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619595733.

Contact Information

Latisha Michelle Blanchard, PMHNP
623 Oak St,
Green Cove Springs, FL 32043-4313
(904) 531-9752
(904) 531-5149

Map and Direction




Provider's Profile

Full NameLatisha Michelle Blanchard
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location623 Oak St, Green Cove Springs, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619595733
  • Provider Enumeration Date: 07/07/2020
  • Last Update Date: 02/13/2023

Medical Identifiers

Medical identifiers for Latisha Michelle Blanchard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619595733NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN11007925 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Latisha Michelle Blanchard is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Latisha Michelle Blanchard, PMHNP
141 Dosel Ln,
St Augustine, FL 32095-4859

Ph: (949) 313-5263
Latisha Michelle Blanchard, PMHNP
623 Oak St,
Green Cove Springs, FL 32043-4313

Ph: (904) 531-9752

Reviews and Comments


Nurse Practitioner Nurses in Green Cove Springs, FL

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Mrs. Gina Michelle Mele, ARNP
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Medicare: Accepting Medicare Assignments
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Phone: 904-284-4510    Fax: 904-284-3293
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Medicare: Medicare Enrolled
Practice Location: 91 Branscomb Rd Ste 3, Green Cove Springs, FL 32043
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Kayla Smith, FNP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 5335 Sweat Rd, Green Cove Springs, FL 32043
Phone: 904-864-4373    

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