Kathleen A Gannon is a Jacksonville, Florida based nurse practitioner with 8 years of experience in . She completed her graduation in 2017. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kathleen A Gannon is APRN11035733 in Florida. Her current practice location is 841 Prudential Dr Ste 180, Jacksonville. Patients can reach her at 904-202-4243 or can fax her at 904-202-4638. Kathleen A Gannon is APRN and her NPI number (Unique professional ID assigned by NPPES) is 1952818809. Kathleen A Gannon has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kathleen A Gannon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Kathleen A Gannon
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
APRN
Experience:
8+ years
Medical School Attended:
Other
Graduation Year:
2017
Accepts Medicare Assignment:
Yes
Practice Address:
841 Prudential Dr Ste 180, Jacksonville, Florida, 32207-8350
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9234499930
Enrollment ID:
I20180126001810
NPI Number:
1952818809
NPI Enumeration Date:
01 Jan, 2018
NPI Last Update On:
14 Jan, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kathleen A Gannon are as mentioned below.
License Number
Specialization
State
Status
APRN11035733
Florida
Primary
71007340A
Nurse Practitioner
Indiana
Secondary
APRN11035733
Family
Florida
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kathleen A Gannon is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Arnett Clinic Llc (0749184380)
346
Dispatchhealth-indiana Pc (2062747728)
11
Hand Surgery Associates Of Indiana Inc (9234198003)
55
Other Medical Identifiers:
Other legacy medical identifiers associated with Kathleen A Gannon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
300009799
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kathleen A Gannon Po Box 746636, Atlanta, Georgia
Zip:
30374-6636
Phone Number:
904-202-2092
Fax Number:
904-376-4075
Patients can reach Kathleen A Gannon at 841 Prudential Dr Ste 180, Jacksonville, Florida or can call to book an appointment on 904-202-4243.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.