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

Krista Nicole Grennan, MD

Individual provider Internal Medicine Physician · NPI 1093418428

Krista Nicole Grennan, MD is an Internal Medicine in Jacksonville, Florida. Graduated from Univ of Central Florida, College of Medicine in 2023, 3 years ago. Licensed in Florida.

Years since qualifying
3
Trained at
Univ of Central Florida, College of Medicine
Licensed in
FL
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME170196 (FL)

Record details

NPI number1093418428
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2023
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIV OF CENTRAL FLORIDA, COLLEGE OF MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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