Individual provider · Type 1 NPI

Kelly Lynne Broekhof, BSN

Case Management Registered Nurse · Jacksonville, FL

NPI number 1477597680 Active

Practice location

Bldg 2104 Massey Ave, Naval Station Mayport
Jacksonville, FL 32222

Call (904) 270-4293 Map

Mailing address

644 Oriskany St
Jacksonville, FL 32227-1712

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400XRN 45281 (HI)

Case Management Registered Nurse: Definition to come...

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About NPI 1477597680

Kelly Lynne Broekhof, BSN's National Provider Identifier is 1477597680, issued on Jun 16, 2006. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 13, 2026.