Individual
MRS. KATHRYN M LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
212 W HIGHWAY 98 STE C, PORT ST JOE, FL 32456-1301
(850) 705-1766
(850) 705-1767
Mailing address
212 W HIGHWAY 98 STE C, PORT ST JOE, FL 32456-1301
(850) 705-1766
(850) 705-1767
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP 2801262
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP2801262
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518102029
—
FL
Enumeration date
12/11/2008
Last updated
01/27/2020
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