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Kathleen A Gannon, APRN
Nurse Practitioner in Jacksonville, Florida
NPI 1952818809

Kathleen A Gannon is a Nurse Practitioner based in Atlanta, FL. Kathleen A Gannon practices in Jacksonville, FL and has the professional credentials of APRN. The NPI Number for Kathleen A Gannon is 1952818809 and holds a License No. 71007340A (Florida).

The current practice location address for Kathleen A Gannon is 841 Prudential Dr Ste 180, Jacksonville, FL and can be reached out via phone at 904-202-4243 and via fax at 904-202-4638.

Location: 841 Prudential Dr Ste 180, Jacksonville, FL, 30374-6636
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952818809
Provider Name
Kathleen A Gannon
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
841 Prudential Dr Ste 180, Jacksonville, FL, 30374-6636
Phone Number
904-202-4243
Fax Number
904-202-4638
Provider Enumeration Date
01/01/2018
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
300009799 05 IN
institution
Provider Business Practice Location Address Details
Address
841 Prudential Dr Ste 180
City
Jacksonville
State
Florida
Zip
32207-8350
Phone Number
904-202-4243
Fax Number
904-202-4638
person
Provider Business Mailing Address Details
Address
841 Prudential Dr Ste 180
City
Jacksonville
State
Florida
Zip
32207-8350
Phone Number
904-202-4243
Fax Number
904-202-4638
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
APRN11035733 (Florida)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71007340A (Indiana)
Definition
Definition to come...
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