Keri Beth Gagnon, FNP-C
Nurse Practitioner, Family in Palm Bay, FL. Individual provider (NPI-1).
NPI number1043095243
StatusActive
Last updated in NPPESAug 30, 2023
Details
- NPI
- 1043095243
- Entity type
- Individual (NPI-1)
- Name
- Keri Beth Gagnon
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2023
- Certification date
- Aug 30, 2023
- Last updated
- Aug 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN11028250 | FL | Yes |
Practice location
600 Malabar Rd Se Ste 2Palm Bay, FL 32907-3105
Phone 321-802-6590
Mailing address
10140 Centurion Pkwy NJacksonville, FL 32256-0532
Phone 904-697-4100
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All 59 Family Nurse Practitioner providers in Palm Bay · All 1,789 providers in Palm Bay
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