KERRY L. NOLAN APRN – NPI #1124334156
Nurse Practitioner

KERRY NOLAN is a nurse practitioner located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1124334156 to KERRY NOLAN on August 27, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 363LP0200X from the Health Care Provider Taxonomy code set, which is classified as Nurse Practitioner, specializing in Pediatrics

The NPI profile was last updated on Oct 06, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KERRY NOLAN below.

NPI Profile for
KERRY L. NOLAN

NPI Number
1124334156
Enumeration Date

(about 16 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KERRY L. NOLAN
Credentials
APRN
Primary location
2606 PARK ST
JACKSONVILLE, FL 32204-4520
Phone: (904) 388-4606 Fax:
1 Other location(s):
1463 Nectarine St
Fernandina Beach, FL 32034-3027
Phone: (904) 491-0177
Fax: (904) 491-3173
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Oct 06, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KERRY NOLAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidFL112893400
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363LP0200X
- Nurse Practitioner / Pediatrics (Primary)
FL APRN11003550
363L00000X
- Nurse Practitioner
FL APRN11003550

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.