Individual provider · Type 1 NPI

Aeden Ghebreselassie, CRNP

Family Nurse Practitioner · St. Johns, FL

NPI number 1093051237 Active

Practice location

2001 County Road 210 W Ste 200
St. Johns, FL 32259-1181

Call (904) 450-8120 Map

Fax (904) 230-1066

Other practice locations

  • 1680 Capital One Dr, Mc Lean, VA 22102-3407 · (703) 720-1290

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN11032157 (FL)
Family Nurse Practitioner 363LF0000X0024174118 (VA)

Family Nurse Practitioner: Definition to come...

3 other providers at this address

Other family nurse practitioner providers in St. Johns

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About NPI 1093051237

Aeden Ghebreselassie, CRNP's National Provider Identifier is 1093051237, issued on Dec 17, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Johns, FL. The record was last updated on Oct 20, 2026.