MEDICARE: MRS. KAMRYN NICOLE HARPER

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
1	106S00000X	Behavior Technician		FL

General Provider Information

NPI Number	:	1124970504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAMRYN NICOLE HARPER

Provider Business Mailing Address
First Line	:	300 INTERNATIONAL PKWY STE 200
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 ALABAMA AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32218
Country	:	US
Telephone Number	:	904-420-2304
Fax Number	:	904-420-2304

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

Similar Medicare Providers

1790636314 — JORDAN MICHAEL LAVENDER
Practice Location Address:

45 ALABAMA AVE
JACKSONVILLE, FL
32218-2677

Practice Phone: 904-420-2304
Practice Fax:

1760971816 — CHARLES JOSEPH HARRISON MD
Practice Location Address:

11513 N MAIN ST
JACKSONVILLE, FL
32218-4002

Practice Phone: 904-751-6200
Practice Fax: 904-751-1600

1790843613 — ALAN TODD WAKEFIELD D.D.S.
Practice Location Address:

800 DUNN AVE
JACKSONVILLE, FL
32218-4803

Practice Phone: 904-240-1941
Practice Fax:

1104272335 — DR. ALAN EKANEM MD
Practice Location Address:

1028 DUNN AVE
JACKSONVILLE, FL
32218-4830

Practice Phone: 904-766-7606
Practice Fax: 904-766-7679

1013869817 — TIFFANY B JONES
Practice Location Address:

11007 KEY CORAL DR
JACKSONVILLE, FL
32218-4440

Practice Phone: 904-864-1017
Practice Fax:

1942152798 — TIYANAH MIXSON
Practice Location Address:

45 ALABAMA AVE
JACKSONVILLE, FL
32218-2677

Practice Phone: 904-420-2304
Practice Fax:

Directions to “ MRS. KAMRYN NICOLE HARPER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.