NPI 1043095243

Keri Beth Gagnon, FNPC

Practitioner Family Nurse Practitioner Palm Bay, FL

Practice location

Address: 600 Malabar Rd SE STE 2, Palm Bay, FL 32907-3105
Phone: (321) 802-6590
Mailing address: 10140 Centurion Pkwy N, Jacksonville, FL 32256-0532

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence APRN11028250 (FL)

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Registry record

NPI: 1043095243
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2023
Record last updated: 30 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.