Provider Demographics
NPI:1649749771
Name:GREENAN, KAREN ANN (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:GREENAN
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4280 SOUTHSIDE BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-5400
Mailing Address - Country:US
Mailing Address - Phone:904-998-3677
Mailing Address - Fax:
Practice Address - Street 1:4280 SOUTHSIDE BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-5400
Practice Address - Country:US
Practice Address - Phone:904-998-3677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-19
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71014100A363LF0000X
FLAPRN11000126363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily