Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Impact Practitioner Services, LLC

Organization Primary Care Nurse Practitioner · NPI 1982457081

Impact Practitioner Services, LLC is a Primary Care Nurse Practitioner in Fort Pierce, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3307 N Indian River Dr
Fort Pierce, FL 34946-8418
Phone: (772) 528-5991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1982457081
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelli Kraaz — Sole Propietor · (772) 528-5991
NPI enumeratedApril 9, 2024
Last updated in NPPESApril 9, 2024
Certification dateApril 8, 2024
Mailing address3307 N Indian River Dr, Fort Pierce, FL 34946-8418

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