Individual
MRS. KATHLYN ELISE BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP, CCRN
Contact information
Practice address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073-5148
(904) 639-8500
Mailing address
12147 WARWICK CIR, PARRISH, FL 34219-7535
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9452667
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
11041021
FL
Other
Enumeration date
09/24/2021
Last updated
08/20/2025
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