Individual
ANISSA BRISBANE-MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6484 FORT CAROLINE RD, JACKSONVILLE, FL 32277-2042
(904) 744-7300
(904) 722-4271
Mailing address
6520 FORT CAROLINE RD, JACKSONVILLE, FL 32277-2044
(904) 745-3618
(904) 722-4271
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9166171
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9166171
FL
Other
Enumeration date
05/17/2018
Last updated
01/22/2019
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