Individual provider · Type 1 NPI
Laura Ann Kereczman, APRN
Adult Health Nurse Practitioner · Jacksonville, FL
NPI number
1194366278
Active
Practice location
1 Shircliff Way
Jacksonville, FL 32204-4748
Mailing address
22086 NW 80th Ave
Starke, FL 32091-8798
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 9357634 (FL) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1194366278
Laura Ann Kereczman, APRN's National Provider Identifier is 1194366278, issued on Sep 30, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 30, 2019.