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Contact Information

KRISTIN L EVERSOLE, ARNP
5220 BELFORT RD
STE 130
JACKSONVILLE, FL32256-6017
 Phone: 904-446-3451
 Fax: 904-446-3013
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for KRISTIN L EVERSOLE · (Female)

NPI # 1679660567
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 10/10/2006
Last updated 04/04/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 2649042
  • FL License # ARNP 2649042
  • FL License # ARNP2649042
  • FL Medicaid 003127800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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