KBN HEALTHCARE, PLLC


Address: 9471 Baymeadows Rd Ste 3, Jacksonville, FL 32256-7932
Phone: 9043327431

KBN HEALTHCARE, PLLC (NPI# 1083116107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083116107
Entity Type Organization
Organization Name KBN HEALTHCARE, PLLC
Practice Address 9471 Baymeadows Rd Ste 3
Jacksonville
FL 32256-7932
Practice Telephone 9043327431
Practice Fax Number 9043327408
Mailing Telephone 9043327431
Enumeration Date 2018-03-05
Last Update Date 2018-03-05
Authorized Official Name WENDY C LU (CREDENTIALING MANAGER)
Authorized Official Telephone 9042212535
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
ARNP9239957 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 9471 BAYMEADOWS RD STE 3
City JACKSONVILLE
State FL
Zip Code 32256-7932

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1275155368 Christy Orellana Social Worker 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 2020-05-11
1376175117 Diane Stover Case Manager/Care Coordinator 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 2020-02-10
1982235859 Sandra Josefina Baez Nunez Nurse Practitioner 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 2020-01-30
1205476496 Point Meadows Dental Center, Inc. Dentist 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 2020-01-15
1598324113 Dhaval Yogeshkumar Shah Dentist 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 2019-06-07
1003472499 Dade Medical, Inc. Durable Medical Equipment & Medical Supplies 9143 Philips Highway Suite 270, Jacksonville, FL 32256 2019-05-13
1003479726 Nichole Bashara Behavior Technician 8383 Baymeadows Rd, Jacksonville, FL 32256 2019-04-18
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720691843 Eralene Manangan Nurse Practitioner 4205 Belfort Rd Ste 4030, Jacksonville, FL 32216-1475 2020-08-28
1306456025 Richard Mercer Nurse Practitioner 3545 Saint Johns Bluff Rd S Ste 137, Jacksonville, FL 32224-2682 2020-08-06
1467060434 Rebecca Bertone Nurse Practitioner 8540 Turkey Oaks Dr S, Jacksonville, FL 32277-2920 2020-07-16
1861018616 Octavia J Robertson Nurse Practitioner 3562 Boone Park Ave, Jacksonville, FL 32205-8433 2020-06-17
1902428568 Kimberly J Grant Nurse Practitioner 8680 Baymeadows Rd E Apt 1413, Jacksonville, FL 32256-4002 2020-05-17
1447710900 Shannska Atis Nurse Practitioner 580 W 8th St Fl II5, Jacksonville, FL 32209-6533 2019-03-21
1811462237 Dzenefa Ramic Nurse Practitioner 10175 Fortune Pkwy Unit 206, Jacksonville, FL 32256-6748 2018-10-11
1851871024 Shakhia Grant Nurse Practitioner 3636 University Blvd S Ste B, Jacksonville, FL 32216-4223 2018-08-17
1295230845 Lacey Cawthron Nurse Practitioner 8130 Baymeadows Cir W Ste 109, Jacksonville, FL 32256-1837 2018-03-27
1578092201 Rachel Dale Hollenbach Nurse Practitioner 4217 Baymeadows Rd Ste 2, Jacksonville, FL 32217-4676 2017-06-06
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Competitor

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City JACKSONVILLE
Zip Code 32256

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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