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NPI Code Detail

MEDICARE: KINGSLEY MASALLA BABILA NP

MEDICARE: KINGSLEY MASALLA BABILA NP
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
1363L00000XNurse PractitionerR250236MD

General Provider Information

NPI Number : 1396600599
Entity Type Code : Individual
Provider Name (Legal Business Name) : KINGSLEY MASALLA BABILA NP
Provider Business Mailing Address
First Line : 7751 BELFORT PKWY STE 120
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-6921
Country : US
Telephone Number : 904-372-3943
Fax Number :
Provider Business Practice Location Address
First Line : 301 HOSPITAL DR
Second Line :
City : GLEN BURNIE
State : MD
Zip : 21061-5803
Country : US
Telephone Number : 202-308-3520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2025
Last Update Date : 02/23/2026

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Directions to “ KINGSLEY MASALLA BABILA NP” Practice Location

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