Healthcare Provider Details

I. General information

NPI: 1255956934
Provider Name (Legal Business Name): KAYLA ANNE CHUTZ DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYLA ANNE JUSZCZYK APRN

II. Dates (important events)

Enumeration Date: 06/09/2020
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13715 RICHMOND PARK DR N UNIT 401
JACKSONVILLE FL
32224-5277
US

IV. Provider business mailing address

13715 RICHMOND PARK DR N UNIT 401
JACKSONVILLE FL
32224-5277
US

V. Phone/Fax

Practice location:
  • Phone: 904-593-8514
  • Fax: 904-593-8515
Mailing address:
  • Phone: 904-593-8514
  • Fax: 904-593-8515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11007456
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberAPRN11007456
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: