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NPI Code Detail

MEDICARE: KARLETTA HARRELL APRN

MEDICARE: KARLETTA HARRELL APRN
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 PractitionerAPRN11005184FL

General Provider Information

NPI Number : 1053956714
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLETTA HARRELL APRN
Provider Business Mailing Address
First Line : 3840 N CANAL ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32209-3622
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3840 N CANAL ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32209-3622
Country : US
Telephone Number : 904-502-8884
Fax Number : 904-647-1858
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2019
Last Update Date : 05/09/2025

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Directions to “ KARLETTA HARRELL APRN” Practice Location

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