Individual provider · Type 1 NPI

Kathleen A. Gannon, APRN

Nurse Practitioner · Jacksonville, FL

NPI number 1952818809 Active

Practice location

5191 First Coast Tech Pkwy # 3
Jacksonville, FL 32224-0609

Call (904) 675-4000 Map

Fax (904) 675-4007

Mailing address

11945 San Jose Blvd Ste 300
Jacksonville, FL 32223-1627

Other practice locations

14534 Old Saint Augustine Rd Ste 3210, Jacksonville, FL 32258-2645 · (904) 675-4000

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	APRN11035733 (FL)
Nurse Practitioner Primary	363L00000X	APRN11035733 (FL)
Nurse Practitioner	363L00000X	71007340A (IN)

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 1952818809

Kathleen A. Gannon, APRN's National Provider Identifier is 1952818809, issued on Jan 1, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 18, 2026.