Individual provider · Type 1 NPI

Kelsey N. Masciello, APRN

Nurse Practitioner · Jacksonville, FL

NPI number 1093503757 Active

Practice location

6930 Bonneval Rd Ste 2
Jacksonville, FL 32216-6084

Fax (904) 376-3210

Mailing address

PO Box 746652
Atlanta, GA 30374-6652

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAPRN11018761 (FL)
Nurse Practitioner Primary 363L00000XAPRN11018761 (FL)

Nurse Practitioner: (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 wit…

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About NPI 1093503757

Kelsey N. Masciello, APRN's National Provider Identifier is 1093503757, issued on Apr 30, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jacksonville, FL. The record was last updated on May 21, 2025.