Individual
KIMBERLY PROTO-CONROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4500 SAN PABLO RD S BLDG 7TH, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
442971
NY
363L00000X
Nurse Practitioner
Primary
APRN9491931
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P019302243
BLUE CHOICE
NY
Enumeration date
09/15/2006
Last updated
01/13/2023
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