Aeden Ghebreselassie, CRNP
Nurse Practitioner, Family in St Johns, FL. Individual provider (NPI-1).
NPI number1093051237
StatusActive
Last updated in NPPESOct 20, 2026
Details
- NPI
- 1093051237
- Entity type
- Individual (NPI-1)
- Name
- Aeden Ghebreselassie
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 17, 2012
- Certification date
- Oct 20, 2026
- Last updated
- Oct 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN11032157 | FL | Yes |
| 363LF0000X | Nurse Practitioner, Family | 0024174118 | VA |
Practice location
2001 County Road 210 W Ste 200St Johns, FL 32259-1181
Phone 904-450-8120 · Fax 904-230-1066
Mailing address
2001 County Road 210 W Ste 200St Johns, FL 32259-1181
Phone 904-450-8120 · Fax 904-230-1066
Other practice locations
1680 Capital One Dr
Mc Lean, VA 22102-3407
Mc Lean, VA 22102-3407
Phone 703-720-1290 · Fax 703-720-1291
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