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 |
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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. |
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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 |
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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 |
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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 |
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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 |