KBN HEALTHCARE, PLLC
NPI 1083116107
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL

Active since March 05, 2018
9471 BAYMEADOWS RD STE 3, JACKSONVILLE, FL 32256(904) 332-7431(904) 332-7408 Get Directions Write a Review

NPPES record last updated: March 5, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kbn Healthcare, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KBN HEALTHCARE, PLLC (NPI 1083116107) is a healthcare organization registered as a psychiatric/mental health in Jacksonville, Florida and active in the NPI registry since March 2018. The organization lists Wendy C Lu, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1083116107
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKBN HEALTHCARE, PLLC
Location Address9471 BAYMEADOWS RD STE 3Jacksonville, FL 32256-7932
Mailing Address9471 Baymeadows Rd Ste 3Jacksonville, FL 32256-7932 · (904) 332-7431
Fax(904) 332-7408
Organization SubpartNo
Authorized OfficialWendy C LuCredentialing Manager · (904) 221-2535
Enumeration DateMarch 5, 2018
NPI 1083116107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in FL · ARNP9239957
9471 BAYMEADOWS RD STE 3, Jacksonville, FL 32256

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kbn Healthcare, PLLC's NPI number?

The NPI number for Kbn Healthcare, PLLC is 1083116107. It was assigned to this organization in the NPPES registry on March 5, 2018.

Where is Kbn Healthcare, PLLC located?

Kbn Healthcare, PLLC is located at 9471 Baymeadows Rd Ste 3, Jacksonville, FL 32256. The listed phone number is (904) 332-7431.

What is Kbn Healthcare, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kbn Healthcare, PLLC was last updated on March 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.