Individual
KAITLIN SIKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE, JACKSONVILLE, FL 32207-8426
(904) 697-3694
(904) 697-3927
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-5985
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9278566
FL
363LP0200X
Pediatric Nurse Practitioner
ARNP9278566
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001922700
—
FL
Enumeration date
02/18/2010
Last updated
10/07/2011
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