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

Kimberly Diane Mackay, NNP

Individual provider Registered Nurse · NPI 1730727314

Kimberly Diane Mackay, NNP is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Florida and Texas.

Years since qualifying
7
Licensed in
FL, TX
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

655 W 8th St
Jacksonville, FL 32209-6511
Phone: (904) 244-3508
Fax: (904) 244-4301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Neonatal Nurse Practitioner (primary) Taxonomy 363LN0005X · Licence APRN11030321 (FL)
Registered Nurse Taxonomy 163W00000X · Licence 683428 (TX)

Record details

NPI number1730727314
Entity typeIndividual (Type 1)
GenderFemale
Credentials NNP
Sole proprietorYes
NPI enumeratedDecember 14, 2019
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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