Individual
KIM FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 32214-5000
(904) 542-7419
Mailing address
2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 32214-5000
(904) 542-7419
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
APRN9323452
FL
367A00000X
Advanced Practice Midwife
Primary
ARNP9323452
FL
Other
Enumeration date
01/06/2015
Last updated
10/28/2023
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