Individual provider · Type 1 NPI
Kim Kossakowski
Primary Care Nurse Practitioner · Jacksonville, FL
NPI number
1376933630
Active
Practice location
4266 Sunbeam Rd
Jacksonville, FL 32257-2425
Fax (904) 407-6007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | ARNP 3025202 (FL) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1376933630
Kim Kossakowski's National Provider Identifier is 1376933630, issued on Jan 26, 2015. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 26, 2015.