Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
NANCY J MCKISSICK
Active
Individual
NANCY J MCKISSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9467071
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000331132
BLUE CROSS BLUE SHIELD
IN
05
—
100082060
—
IN
05
—
200373280C
—
IN
01
—
JG949Z
MEDICARE
FL
Enumeration date
08/12/2005
Last updated
08/13/2020
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