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

Kimberly Tanner

Individual provider Developmental Therapist · NPI 1639318967

Kimberly Tanner is a Developmental Therapist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009

Practice location Address checks out

12276 San Jose Blvd Ste 507
Jacksonville, FL 32223-8628
Phone: (904) 288-8910
Fax: (904) 288-8912
Show map & directions

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

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X (FL)

Record details

NPI number1639318967
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 10, 2009
Last updated in NPPESFebruary 10, 2009
Mailing address12276 San Jose Blvd, Ste 507, Jacksonville, FL 32223-8628

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