Individual
KELLY COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1680 THE GREENS WAY STE 200, JACKSONVILLE BEACH, FL 32250-1422
(904) 800-7380
(904) 467-8932
Mailing address
1680 THE GREENS WAY STE 200, JACKSONVILLE BEACH, FL 32250-1422
(904) 800-7380
(904) 467-8932
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
9270387
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
9270387
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003159917A
—
GA
05
—
013647700
—
FL
Enumeration date
10/21/2014
Last updated
09/23/2024
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