Mrs Alice Lillian Abdur-razzaaq, PMHNP - Nurse Practitioner in Jacksonville, FL

Mrs Alice Lillian Abdur-razzaaq, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Jacksonville, Florida. Mrs Alice Lillian Abdur-razzaaq is licensed to practice in Florida (license number APRN11034345) and her current practice location is 1636 Shadowood Lane, Suite 120, Jacksonville, Florida. She can be reached at her office (for appointments etc.) via phone at (904) 725-9701.

NPI number for Mrs Alice Lillian Abdur-razzaaq is 1245063494 and her current mailing address is 1636 Shadowood Ln Ste 120, Jacksonville, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245063494.

Contact Information

Mrs Alice Lillian Abdur-razzaaq, PMHNP
1636 Shadowood Lane, Suite 120,
Jacksonville, FL 32207-2187
(904) 725-9701
(904) 725-9694

Map and Direction




Provider's Profile

Full NameMrs Alice Lillian Abdur-razzaaq
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1636 Shadowood Lane, Jacksonville, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1245063494
  • Provider Enumeration Date: 08/22/2024
  • Last Update Date: 08/22/2024

Medical Identifiers

Medical identifiers for Mrs Alice Lillian Abdur-razzaaq such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245063494NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN11034345 (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. Mrs Alice Lillian Abdur-razzaaq 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
Mrs Alice Lillian Abdur-razzaaq, PMHNP
1636 Shadowood Ln Ste 120,
Jacksonville, FL 32207-2187

Ph: (904) 725-9701
Mrs Alice Lillian Abdur-razzaaq, PMHNP
1636 Shadowood Lane, Suite 120,
Jacksonville, FL 32207-2187

Ph: (904) 725-9701

Reviews and Comments


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