Kissick, Jason Lee

Kissick, Jason Lee is an sole proprietor health care provider with primary practice located at 3301 W Gandy Blvd , Tampa FL 33611-2931. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Kissick, Jason Lee can be contacted via phone (813) 925-1903.

Contact Information

Primary practice address
3301 W Gandy Blvd Tampa FL 33611-2931
Phone: (813) 925-1903
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 9350626 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11007202 Florida

Profile Details

NPI number 1295357051
LBN Legal business name Kissick, Jason Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2020
Last updated Aug 20th, 2021 - about 4 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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