Individual provider · Type 1 NPI
Kassidy Dieter, APRN
Nurse Practitioner · Jacksonville, FL
Practice location
2122 University Blvd S
Jacksonville, FL 32216-8937
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN11044026 (FL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1659237683
Kassidy Dieter, APRN's National Provider Identifier is 1659237683, issued on Jan 3, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 3, 2026.