Dove, Alissa D

Dove, Alissa D is an individual health care provider with primary practice located at 1375 Roberts Dr Ste 103 , Jacksonville Beach FL 32250-3209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dove, Alissa D can be contacted via phone (904) 997-3800.

Contact Information

Primary practice address
1375 Roberts Dr Ste 103 Jacksonville Beach FL 32250-3209
Phone: (904) 997-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11019919 Florida

Profile Details

NPI number 1215676291
LBN Legal business name Dove, Alissa D
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2022
Last updated Mar 20th, 2024 - about 2 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 1215676291 NPPES
Florida Other 34QZE FL BLUE
Florida MEDICAID 114621300 FL BLUE

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