MALISSA ANN KIRSTEN A.P.R.N. NPI 1285816892

NPI Information

NPI: 1285816892
Provider Name: MALISSA ANN KIRSTEN, A.P.R.N.
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

Organization: WOMENS CARE FLORIDA LLC

PECOS Registration: Yes

Address:
6885 BELFORT OAKS PL STE 300
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 296-4200
Get Directions

Malissa Ann Kirsten, A.P.R.N. is an obstetrics and gynecology nurse practitioner in Jacksonville, FL with 25 years of experience. Malissa Ann Kirsten, A.P.R.N. NPI is 1285816892. 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:

6885 BELFORT OAKS PL STE 300
JACKSONVILLE, FL
ZIP 32216-284
Phone: (904) 296-4200
Fax: (904) 296-1040

The NPI 1285816892 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 12/5/2007 and was last updated on 2/27/2019.

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
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	APRN9168505	FLORIDA	Yes

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
1	002090000	MEDICAID	FLORIDA
2	APRN9168505	OTHER	FLORIDA	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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »