KANDACE M DALTON APN NPI 1417430190

NPI Information

  • NPI: 1417430190
  • Provider Name: KANDACE M DALTON, APN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8384 BAYMEADOWS RD STE 4
    JACKSONVILLE, FL
    ZIP 32256
  • Phone: (904) 776-5846

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NPI Details

Kandace M Dalton, APN is a family nurse practitioner in Jacksonville, FL. Kandace M Dalton, APN NPI is 1417430190. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8384 BAYMEADOWS RD STE 4
JACKSONVILLE, FL
ZIP 32256-486
Phone: (904) 776-5846

The NPI 1417430190 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/10/2018 and was last updated on 10/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental Health4704410354MICHIGANNo
2163WP0808XRegistered NursePsychiatric/Mental Health187452TENNESSEENo
3363LF0000XNurse PractitionerFamily0024190006VIRGINIANo
4363LF0000XNurse PractitionerFamilyAPRN11012993FLORIDANo
5163WP0808XRegistered NursePsychiatric/Mental HealthAPRN11012993FLORIDANo
6363LF0000XNurse PractitionerFamily24713TENNESSEEYes
7163WP0808XRegistered NursePsychiatric/Mental HealthAP61593686WASHINGTONNo
8163WP0808XRegistered NursePsychiatric/Mental Health987178NEW YORKNo
9163WP0808XRegistered NursePsychiatric/Mental Health0024190006VIRGINIANo
10363LF0000XNurse PractitionerFamilyAP61593686WASHINGTONNo
11363LF0000XNurse PractitionerFamily4704410354MICHIGANNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
124713OTHERTENNESSEEAPN LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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