Greenawalt, Kimberly Anne

Greenawalt, Kimberly Anne is an individual health care provider with primary practice located at 4205 Belfort Rd Suite 2069, Jacksonville FL 32216-1471. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Greenawalt, Kimberly Anne can be contacted via phone (904) 296-0278.

Contact Information

Primary practice address
4205 Belfort Rd Suite 2069 Jacksonville FL 32216-1471
Phone: (904) 296-0278
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X APRN9184456 Florida

Profile Details

NPI number 1578831954
LBN Legal business name Greenawalt, Kimberly Anne
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2011
Last updated Mar 18th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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