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Contact Information

ANISSA BRISBANE MCFADDEN, ARNP
6484 FORT CAROLINE RD
JACKSONVILLE, FL32277-2042
 Phone: 904-744-7300
 Fax: 904-722-4271
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANISSA BRISBANE MCFADDEN · (Female)

NPI # 1033609789
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 05/17/2018
Last updated 01/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 9166171
  • FL License # ARNP9166171
Hospital affiliation(s)
  • ST VINCENT'S MEDICAL CENTER - (Acute Care)
    1 SHIRCLIFF WAY
    JACKSONVILLE, FL 32204
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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