Individual provider · Type 1 NPI
Kenny Robert Diaz Martinez, FNP-C
Family Nurse Practitioner · Jacksonville, FL
NPI number
1336939701
Active
Practice location
858 Monument Rd Ste A
Jacksonville, FL 32225-6670
Fax (904) 450-6969
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 11039295 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1336939701
Kenny Robert Diaz Martinez, FNP-C's National Provider Identifier is 1336939701, issued on May 8, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 1, 2025.