Individual
KIMBERLY A O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7015 A C SKINNER PKWY STE 1, JACKSONVILLE, FL 32256-6932
(907) 739-7779
(904) 739-7771
Mailing address
7751 BELFORT PKWY STE 350, JACKSONVILLE, FL 32256-6951
(904) 363-2113
(904) 363-2606
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9297153
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022227700
—
FL
01
—
5QPBY
FLORIDA BLUE
FL
01
—
JC682Z
MEDICARE
FL
01
—
P02352086
RAILROAD MEDICARE
FL
Enumeration date
08/30/2017
Last updated
02/16/2026
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