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

Kathleen A Gannon, APRN

Individual provider Nurse Practitioner · NPI 1952818809

Kathleen A Gannon, APRN is a Nurse Practitioner in Jacksonville Beach, Florida. Qualified in 2008, 18 years ago. Practices with Baptist Agewell Physicians Inc, a 21-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Indiana.

Years since qualifying
18
Licensed in
FL, IN
In the registry since
2018
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

3563 Philips Hwy Bldg B Ste 201A
Jacksonville Beach, FL 32207
Phone: (904) 202-2557
Fax: (904) 393-2958
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11035733 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 71007340A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11035733 (FL)

Record details

NPI number1952818809
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJanuary 1, 2018
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Baptist Agewell Physicians Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Jacksonville Beach