Eversole, Kristin L

Eversole, Kristin L is an individual health care provider with primary practice located at 5220 Belfort Rd Ste 130, Jacksonville FL 32256-6017. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Wound Care, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is her primary health care specialty. Eversole, Kristin L can be contacted via phone (904) 446-3451.

Contact Information

Primary practice address
5220 Belfort Rd Ste 130 Jacksonville FL 32256-6017
Phone: (904) 446-3451
Fax: (904) 446-3013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Wound Care 163WW0000X ARNP2649042 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2649042 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ARNP 2649042 Florida
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X ARNP2649042 Florida

Profile Details

NPI number 1679660567
LBN Legal business name Eversole, Kristin L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Apr 4th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679660567 NPPES
Florida MEDICAID 003127800

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