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NPI Code Detail

MEDICARE: KIMBERLY A O'DONNELL ARNP

MEDICARE: KIMBERLY A O'DONNELL 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
1363LA2200XAdult Health Nurse PractitionerAPRN9297153FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1JC682ZOTHERFLMEDICARE
4P02352086OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
35QPBYOTHERFLFLORIDA BLUE
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497273429
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY A O'DONNELL ARNP
Provider Business Mailing Address
First Line : 7751 BELFORT PKWY STE 350
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-6951
Country : US
Telephone Number : 904-363-2113
Fax Number : 904-363-2606
Provider Business Practice Location Address
First Line : 7015 A C SKINNER PKWY STE 1
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-6932
Country : US
Telephone Number : 907-739-7779
Fax Number : 904-739-7771
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2017
Last Update Date : 02/16/2026

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Directions to “ KIMBERLY A O'DONNELL ARNP” Practice Location

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