Individual
KIMBERLY ANNE GREENAWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9184456
FL
363LC0200X
Critical Care Medicine Nurse Practitioner
APRN9184456
FL
Other
Enumeration date
12/13/2011
Last updated
02/04/2026
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