Kathleen A Gannon
APRN | Nurse Practitioner | 8+ years Exp
3563 Philips Hwy, Bldg. B Suite 201a, Jacksonville Beach
Florida, 32207
904-202-2557
Kathleen A Gannon is a Jacksonville Beach, 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 3563 Philips Hwy, Bldg. B Suite 201a, Jacksonville Beach. Patients can reach her at 904-202-2557 or can fax her at 904-393-2958. 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: | 3563 Philips Hwy, Bldg. B Suite 201a, Jacksonville Beach,
Florida, 32207 |
| Phone: | 904-202-2557 |
| Fax: | 904-393-2958 |
Professional Identification Codes:
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: | 02 Sep, 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
3563 Philips Hwy, Bldg. B Suite 201a, Jacksonville Beach, Florida or can
call to book an appointment on 904-202-2557.
Comments/ Reviews:
Patients can read all the reviews posted for Kathleen A Gannon below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Kathleen A Gannon. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.