IndividualActive
Kimberly Mackay, NNP
NPI 1730727314 · Critical Care Neonatal Nurse Practitioner · Jacksonville, FL
Provider details
- NPI number
- 1730727314
- Entity type
- Individual
- Primary specialty
- Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 683428 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
655 W 8th St
Jacksonville, FL 32209-6511
Phone: (904) 244-3508
Fax: (904) 244-4301
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 44008
Jacksonville, FL 32231-4008
Registry dates
- Enumerated
- 2019-12-14
- Last updated
- 2024-01-30
- Certified
- 2024-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.