Healthcare Provider Details

I. General information

NPI: 1922326669
Provider Name (Legal Business Name): KAREN REYNOLDS NELSON A.P.R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAREN LOUISE REYNOLDS COON A.R.N.P.

II. Dates (important events)

Enumeration Date: 05/05/2010
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 WALNUT ST # 22245
GREEN COVE SPRINGS FL
32043-3443
US

IV. Provider business mailing address

411 WALNUT ST
GREEN COVE SPRINGS FL
32043-3443
US

V. Phone/Fax

Practice location:
  • Phone: 850-443-8569
  • Fax:
Mailing address:
  • Phone: 850-443-8569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberARNP9200614
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberARNP9200614
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: