Mrs Regina D Petty, MSN, APRN, PMHNP - Nurse Practitioner in Jacksonville, FL

Mrs Regina D Petty, MSN, APRN, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Jacksonville, Florida. Mrs Regina D Petty is licensed to practice in Florida (license number APRN11018524) and her current practice location is 15462 Spotted Stallion Trl, Jacksonville, Florida. She can be reached at her office (for appointments etc.) via phone at (352) 328-0571.

NPI number for Mrs Regina D Petty is 1669092888 and her current mailing address is 15462 Spotted Stallion Trl, Jacksonville, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669092888.

Contact Information

Mrs Regina D Petty, MSN, APRN, PMHNP
15462 Spotted Stallion Trl,
Jacksonville, FL 32234-2398
(352) 328-0571
Not Available

Map and Direction




Provider's Profile

Full NameMrs Regina D Petty
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location15462 Spotted Stallion Trl, Jacksonville, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1669092888
  • Provider Enumeration Date: 04/17/2020
  • Last Update Date: 06/03/2022

Medical Identifiers

Medical identifiers for Mrs Regina D Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669092888NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN9339167 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN11018524 (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 Regina D Petty 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 Regina D Petty, MSN, APRN, PMHNP
15462 Spotted Stallion Trl,
Jacksonville, FL 32234-2398

Ph: (352) 328-0571
Mrs Regina D Petty, MSN, APRN, PMHNP
15462 Spotted Stallion Trl,
Jacksonville, FL 32234-2398

Ph: (352) 328-0571

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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