MALISSA ANN KIRSTEN (NPI# 1285816892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285816892 |
| Entity Type | Individual |
| Full Name | MALISSA ANN KIRSTEN |
| Credential | A.P.R.N. |
| Practice Address |
6885 Belfort Oaks Pl Ste 300 Jacksonville FL 32216-6284 |
| Mailing Address |
Po Box 25317 Tampa FL 33622-5317 |
| Practice Telephone | 9042964200 |
| Practice Fax Number | 9042961040 |
| Mailing Telephone | 8132860033 |
| Mailing Fax Number | 8132821806 |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2019-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
APRN9168505 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002090000 | 05 | |
| FL | LICENSE | APRN9168505 | 01 |
| Street Address |
6885 BELFORT OAKS PL STE 300 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-6284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457312738 | Paul Rebenack | Obstetrics & Gynecology | 6885 Belfort Oaks Pl Ste 300, Jacksonville, FL 32216-6284 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962895326 | University of Florida Jacksonville Physicians Inc | Nurse Practitioner | 15255 Max Leggett Pkwy Ste 4600, Ufjp - Uf Health Birth Center, Jacksonville, FL 32218-7213 | 2015-03-10 |
| 1811324965 | Dalia Philbeck | Nurse Practitioner | 15255 Max Leggett Pkwy Ste 4400, Jacksonville, FL 32218-7273 | 2013-10-03 |
| 1386856649 | Victoria L Kell | Nurse Practitioner | 247 Memorial Dr, Jacksonville, NC 28546-6333 | 2007-05-07 |
| 1033284922 | Maureen C Baxter | Nurse Practitioner | 815 Plaza, Jacksonville, FL 32233 | 2006-11-24 |
| 1477625457 | Evelyn Knoblock Brady | Nurse Practitioner | 4311 Salisbury Rd, Jacksonville, FL 32216-6123 | 2006-11-14 |
| 1982628798 | Glenda A. Phillips | Nurse Practitioner | 8075 Gate Pkwy W Ste 305, Jacksonville, FL 32216-3685 | 2006-07-26 |
| 1831145713 | Nancy R Robinson | Nurse Practitioner | 2933 University Blvd. North, Jacksonville, FL 32211 | 2006-05-25 |
| 1437104692 | Donna S Price | Nurse Practitioner | 5300 North Pearl Street, Jacksonville, FL 32208 | 2006-05-24 |
| 1538773304 | Joymarie Jennifer Steely | Nurse Practitioner | 13241 Bartram Park Blvd Unit 1509, Jacksonville, FL 32258-5231 | 2020-08-31 |
| 1588186084 | Caitlen Elizabeth Despain | Nurse Practitioner | 610 N Westgate Ave, Jacksonville, IL 62650-1152 | 2017-07-17 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on MALISSA ANN KIRSTEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.