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Kerry E Weaver

Nurse Practitioner β€’ Jacksonville, FL

Active NPI 1720624406 Individual Practitioner Female Practitioner
Practice location in NPPES

807 Childrens Way
Jacksonville, FL 322078426

Call 9046973600 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

807 Childrens Way

Jacksonville, FL 322078426

Telephone 9046973600
Organization at the Same NPPES Address or Phone
The Nemours Foundation Facility NPI 1265585806

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Jacksonville, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jacksonville and Florida

872 active clinicians are listed under Nurse Practitioner with a practice address in Jacksonville, FL (8,853 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

28.3% of these 872 clinicians have the CMS telehealth indicator.

62.5% of these 872 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-22
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES FL APRN11017050

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

License # reported to NPPES FL RN9424439

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES GA GAA-NP002170

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Secondary Practice Locations

800 Prudential Dr

Jacksonville, FL 322078202

Phone: 9042022000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

22 listed
Dr. Stephen Bresson , MD

Radiology - Diagnostic Radiology

NPI 1144457789

Doctor of Medicine (M.D.)

Dr. Amy Burns , MD

Anesthesiology

NPI 1073617544

Doctor of Medicine (M.D.)

Dr. Katari Carello , MD

Anesthesiology - Pediatric Anesthesiology

NPI 1306992722

Doctor of Medicine (M.D.)

Carly Conner , PA-C

Physician Assistant

NPI 1366727596

Physician Assistant (Certified)

Haley Deegan

Physician Assistant

NPI 1497426894
Dr. Chirag Desai , MD

Psychiatry & Neurology - Psychiatry

NPI 1386820876

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Business Mailing Address October 22, 2025

Registered at 1503 PARRISH PL, JACKSONVILLE, FL 322059247

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2025

Nurse Practitioner (license number reported to NPPES: FL APRN11017050)

πŸ“
Updated Practice Location June 03, 2022

Registered at 807 CHILDRENS WAY, JACKSONVILLE, FL 322078426 (Tel: 9046973600)

πŸ“
Updated Business Mailing Address June 03, 2022

Registered at 3612 WALSH ST, JACKSONVILLE, FL 322059064

πŸ‘€
Provider Name / Credentials Updated June 03, 2022

Recorded as KERRY WEAVER

βœ…
NPI Profile Active November 18, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 18, 2019

Registered at 800 PRUDENTIAL DR, JACKSONVILLE, FL 322078202 (Tel: 9042022000)

πŸ“
Business Mailing Address (Initial Record) November 18, 2019

Registered at 55074 COUNTREE LIFE WAY, CALLAHAN, FL 320113574

πŸ‘€
Provider Name / Credentials (Initial Record) November 18, 2019

Recorded as KERRY MCLAUGHLIN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2019

Registered Nurse (license number reported to NPPES: FL RN9424439)

🟒
Initial NPI Registration & Enumeration November 18, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1720624406
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 18, 2019
Last Update: October 22, 2025
Sole Proprietor: Yes

Other Nurse Practitioners in Jacksonville

All Nurse Practitioners in Jacksonville

Mailing Address

1503 Parrish Pl

Jacksonville, FL 322059247

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.