Provider Demographics
NPI:1942081609
Name:DOBSON, CHYADE (MSN, ARNP, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:CHYADE
Middle Name:
Last Name:DOBSON
Suffix:
Gender:F
Credentials:MSN, ARNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9905 OLD SAINT AUGUSTINE RD STE 400
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-8856
Mailing Address - Country:US
Mailing Address - Phone:904-374-8843
Mailing Address - Fax:888-411-8407
Practice Address - Street 1:9905 OLD SAINT AUGUSTINE RD STE 400
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-8856
Practice Address - Country:US
Practice Address - Phone:904-374-8843
Practice Address - Fax:888-411-8407
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-09
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11029118363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health