Individual
CORI BRETT KLEINFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP-NNP
Contact information
Practice address
820 PRUDENTIAL DR, UFJAX - DEPT. OF PEDIATRICS/NEONATOLOGY, JACKSONVILLE, FL 32207-8210
(904) 202-2330
Mailing address
PO BOX 44008, UFJAX - PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3199
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
ARNP 9338095
FL
363LN0005X
Critical Care Neonatal Nurse Practitioner
APN0000011967
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003140202A
—
GA
05
—
003140202B
—
GA
05
—
007185800
—
FL
Enumeration date
09/18/2007
Last updated
07/14/2015
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