| Kimberly Anne Fletcher, APRN | |
|
1325 San Marco Blvd Ste 300, Jacksonville, FL 32207-8567 | |
| (904) 253-6910 | |
| (904) 253-6964 |
| Full Name | Kimberly Anne Fletcher |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1325 San Marco Blvd Ste 300, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770114381 | NPI | - | NPPES |
| 108679800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | APRN2574642 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN2574642 (Florida) | Primary |
| Entity Name | First Coast Surgical Associates Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548249543 PECOS PAC ID: 5395779359 Enrollment ID: O20070109000450 |
| Entity Name | Respiratory Critical Care And Sleep Medicine Associates,inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386622629 PECOS PAC ID: 3971602970 Enrollment ID: O20070615000138 |
| Entity Name | Jacksonville Lung Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861991937 PECOS PAC ID: 4486900412 Enrollment ID: O20180705002822 |
| Entity Name | Vip Specialties Of Florida |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790499812 PECOS PAC ID: 7810355708 Enrollment ID: O20230626001309 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Anne Fletcher, APRN 1325 San Marco Blvd Ste 300, Jacksonville, FL 32207-8567 Ph: (904) 253-6910 | Kimberly Anne Fletcher, APRN 1325 San Marco Blvd Ste 300, Jacksonville, FL 32207-8567 Ph: (904) 253-6910 |