Individual provider · Type 1 NPI
Casey Nietz, APRN
Family Nurse Practitioner · St. Johns, FL
NPI number
1922739358
Active
Practice location
170 Fountains Way Ste 6
St. Johns, FL 32259-1173
Mailing address
4846 Parkhurst Pl
Jacksonville, FL 32256-6046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 11020289 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1922739358
Casey Nietz, APRN's National Provider Identifier is 1922739358, issued on Jun 17, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Johns, FL. The record was last updated on Feb 2, 2024.