Provider Demographics
NPI:1932898756
Name:RILEY, GERI (APRN)
Entity type:Individual
Prefix:
First Name:GERI
Middle Name:
Last Name:RILEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7963 COPPERFIELD CIR N
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-5473
Mailing Address - Country:US
Mailing Address - Phone:678-826-6730
Mailing Address - Fax:
Practice Address - Street 1:8833 PERIMETER PARK BLVD STE 201
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-1111
Practice Address - Country:US
Practice Address - Phone:904-294-5329
Practice Address - Fax:904-485-8460
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11018750363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health