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NPI Code Detail

MEDICARE: MRS. KIMBERLY CASON ROGERS ARNP

MEDICARE: MRS. KIMBERLY CASON ROGERS ARNP
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
1363LA2200XAdult Health Nurse Practitioner9169819FL
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN9169819FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780026104
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIMBERLY CASON ROGERS ARNP
Provider Business Mailing Address
First Line : 5336 3RD ST
Second Line :
City : ST AUGUSTINE
State : FL
Zip : 32080-7243
Country : US
Telephone Number : 904-806-2382
Fax Number :
Provider Business Practice Location Address
First Line : 800 PRUDENTIAL DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8202
Country : US
Telephone Number : 904-376-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2013
Last Update Date : 02/20/2026

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