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NPI Code Detail

MEDICARE: KATIE L KERLIN ARNP

MEDICARE: KATIE L KERLIN ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerARNP9277999FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366859373
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE L KERLIN ARNP
Provider Business Mailing Address
First Line : 6444 BEACH BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-2891
Country : US
Telephone Number : 904-805-9600
Fax Number : 904-805-0084
Provider Business Practice Location Address
First Line : 6444 BEACH BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-2891
Country : US
Telephone Number : 904-805-9600
Fax Number : 904-805-0084
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2014
Last Update Date : 10/31/2018

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Directions to “ KATIE L KERLIN ARNP” Practice Location

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