Individual
MRS. KACIE BETH CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-0170
Mailing address
5039 STONELER RD, TALLAHASSEE, FL 32303-6922
(321) 474-9777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9567080
FL
163WN0002X
Neonatal Intensive Care Registered Nurse
RN9567080
FL
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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