Individual
KIMBERLY CHRISTINA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4100 WATERMAN WAY, TAVARES, FL 32778-5270
(352) 343-1117
(866) 445-2968
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9226751
FL
363L00000X
Nurse Practitioner
Primary
APRN11029595
FL
363LG0600X
Gerontology Nurse Practitioner
APRN11029595
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120457100
—
FL
Enumeration date
10/18/2023
Last updated
12/07/2023
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