Kirsten, Malissa Ann

Kirsten, Malissa Ann is an individual health care provider with primary practice located at 6885 Belfort Oaks Pl Ste 300 , Jacksonville FL 32216-6284. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kirsten, Malissa Ann can be contacted via phone (904) 296-4200.

Contact Information

Primary practice address
6885 Belfort Oaks Pl Ste 300 Jacksonville FL 32216-6284
Phone: (904) 296-4200
Fax: (904) 296-1040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X APRN9168505 Florida

Profile Details

NPI number 1285816892
LBN Legal business name Kirsten, Malissa Ann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2007
Last updated Feb 27th, 2019 - about 6 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 1285816892 NPPES
Florida MEDICAID 002090000
Florida Other APRN9168505

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