Individual provider · Type 1 NPI

Lisa Kidd, NP

Family Nurse Practitioner · Jacksonville Beach, FL

NPI number 1952009771 Active

Practice location

3563 Philips Hwy, Bldg. B Suite 201A
Jacksonville Beach, FL 32207

Fax (904) 393-2958

Mailing address

PO Box 746636
Atlanta, GA 30374-6636

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAPRN11022483 (FL)
Gerontology Nurse Practitioner 363LG0600XAPRN11022483 (FL)
Family Nurse Practitioner Primary 363LF0000XAPRN11022483 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1952009771

Lisa Kidd, NP's National Provider Identifier is 1952009771, issued on Feb 21, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jacksonville Beach, FL. The record was last updated on Sep 2, 2025.