NPI 1336717081 · live from the CMS NPI Registry
Kalli A Ackerman, APRN
Nurse Practitioner in Yulee, FL. National Provider Identifier 1336717081, active.
NPI record
| NPI | 1336717081 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 75980 William Burgess Blvd Unit 3, Yulee, FL 32097 |
| Practice phone | 904-530-4951 |
| Enumerated | June 17, 2021 |
| Last updated | December 14, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | APRN11013686 (FL) |
| Nurse Practitioner, Family | 363LF0000X | APRN11013686 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.