Healthcare Provider Details

I. General information

NPI: 1235066697
Provider Name (Legal Business Name): KIMBERLY A. MCNEESE DNP, APRN, FNP-BC,
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6020 NW 83RD TER
PARKLAND FL
33067-5039
US

IV. Provider business mailing address

6020 NW 83RD TER
PARKLAND FL
33067-5039
US

V. Phone/Fax

Practice location:
  • Phone: 407-694-9928
  • Fax:
Mailing address:
  • Phone: 407-694-9928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11011732
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: