Antionette Jarshawn Miller-maultsby, - Psychologist in Jacksonville, FL

Antionette Jarshawn Miller-maultsby, is a Psychologist - Health Service based in Jacksonville, Florida. Antionette Jarshawn Miller-maultsby is licensed to practice in Florida (license number 103TH0100X) and her current practice location is 4401 Will Scarlet Rd, Jacksonville, Florida. She can be reached at her office (for appointments etc.) via phone at (904) 352-0066.

NPI number for Antionette Jarshawn Miller-maultsby is 1013573039 and her current mailing address is 4401 Will Scarlet Rd, Jacksonville, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013573039.

Contact Information

Antionette Jarshawn Miller-maultsby,
4401 Will Scarlet Rd,
Jacksonville, FL 32208-1154
(904) 352-0066
Not Available



Healthcare Provider's Profile

Full NameAntionette Jarshawn Miller-maultsby
GenderFemale
SpecialityPsychologist - Health Service
Location4401 Will Scarlet Rd, Jacksonville, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013573039
  • Provider Enumeration Date: 05/15/2019
  • Last Update Date: 01/19/2024

Medical Identifiers

Medical identifiers for Antionette Jarshawn Miller-maultsby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013573039NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TH0100XPsychologist - Health Service 103TH0100X (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. Antionette Jarshawn Miller-maultsby 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
Antionette Jarshawn Miller-maultsby,
4401 Will Scarlet Rd,
Jacksonville, FL 32208-1154

Ph: (904) 352-0066
Antionette Jarshawn Miller-maultsby,
4401 Will Scarlet Rd,
Jacksonville, FL 32208-1154

Ph: (904) 352-0066

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› Verified 4 days ago


Psychologist in Jacksonville, FL

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