NPI 1265523286 · live from the CMS NPI Registry
Keisha R. Bird, ARNP
Nurse Practitioner in Jacksonville, FL. National Provider Identifier 1265523286, active.
NPI record
| NPI | 1265523286 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 807 Childrens Way, Jacksonville, FL 32207 |
| Practice phone | 904-390-3759 |
| Mailing address | Po Box 191, Provider Enrollment Dept, Rockland, DE 19732 |
| Enumerated | September 27, 2006 |
| Last updated | November 21, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | ARNP 9195075 (FL) |
| Nurse Practitioner, Pediatrics | 363LP0200X | ARNP 9195075 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.