Mckissick, Nancy J

Mckissick, Nancy J is an individual health care provider with primary practice located at 500 N West Shore Blvd , Tampa FL 33609-5005. 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. Mckissick, Nancy J can be contacted via phone (855) 893-2298.

Contact Information

Primary practice address
500 N West Shore Blvd Tampa FL 33609-5005
Fax: (866) 214-6824
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9467071 Florida

Profile Details

NPI number 1407858145
LBN Legal business name Mckissick, Nancy J
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Aug 13th, 2020 - about 6 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 1407858145 NPPES
Indiana MEDICAID 100082060
Indiana Other 000000331132
Indiana MEDICAID 200373280C
Indiana Other JG949Z

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