Individual
MS. KERRY LYNN NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2606 PARK ST, JACKSONVILLE, FL 32204-4520
(904) 388-4606
Mailing address
2606 PARK ST, JACKSONVILLE, FL 32204-4520
(904) 388-4606
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11003550
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11003550
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112893400
—
FL
Enumeration date
08/27/2010
Last updated
10/06/2025
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