Davies, Kristin

Davies, Kristin is an individual health care provider with primary practice located at 1370 13Th Ave S Ste 215 , Jacksonville Beach FL 32250-3206. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Davies, Kristin can be contacted via phone (904) 249-1041.

Contact Information

Primary practice address
1370 13Th Ave S Ste 215 Jacksonville Beach FL 32250-3206
Phone: (904) 249-1041
Fax: (904) 249-9767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9269480 Florida

Profile Details

NPI number 1407258114
LBN Legal business name Davies, Kristin
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2014
Last updated Nov 16th, 2015 - about 11 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 1407258114 NPPES
Florida Other P01397767 RAILROAD MEDICARE
Florida MEDICAID 013793300 RAILROAD MEDICARE

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