Individual
MS. KIM BARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
655 W 8TH ST, UFJP OB/GYN, JACKSONVILLE, FL 32209-6511
(904) 858-6974
(904) 858-6982
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
ARNP1796732
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000842828C
—
GA
05
—
3007391-00
—
FL
Enumeration date
02/28/2006
Last updated
04/04/2012
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