Individual provider · Type 1 NPI
Tara Nicole Kidd, MSN, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Fort Walton Beach, FL
NPI number
1285341826
Active
Practice location
116 4th St SE Unit C
Fort Walton Beach, FL 32548-5438
Fax (850) 308-2450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN11027520 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
4 other providers at this address
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- Mariah BatesBehavior Analyst Fort Walton Beach, FL NPI 1851812127
- Trisha Renee Reeder, RBTBehavior Technician Fort Walton Beach, FL NPI 1811404825
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About NPI 1285341826
Tara Nicole Kidd, MSN, APRN, PMHNP-BC's National Provider Identifier is 1285341826, issued on Nov 2, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Jul 14, 2026.