NPI 1063191088

Orion Lightly, CRPS

Practitioner Peer Specialist Jacksonville, FL

Practice location

Address: 555 Stockton St, Jacksonville, FL 32204-2534
Phone: (904) 577-9908

Registered specialties (2)

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence CRPS.0101079.A (FL)

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Doula

Nursing Service Related Providers Taxonomy 374J00000X

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Registry record

NPI: 1063191088
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jul 2023
Record last updated: 25 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.