Individual provider · Type 1 NPI

Kimberly Marie Petragnani, ARNP

Nurse Practitioner · Jacksonville, FL

NPI number 1124093828 Active

Practice location

836 Prudential Dr Ste 1700
Jacksonville, FL 32207-8344

Fax (904) 376-3206

Mailing address

PO Box 746652
Atlanta, GA 30374-6652

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X9191172 (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 1124093828

Kimberly Marie Petragnani, ARNP's National Provider Identifier is 1124093828, issued on Feb 17, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 5, 2025.