Individual
PARISSA KIMIA VIZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-PC
Contact information
Practice address
6855 WILSON BLVD STE 2, JACKSONVILLE, FL 32210-3600
(561) 509-5009
Mailing address
13490 GRAN BAY PKWY UNIT 3, JACKSONVILLE, FL 32258-7446
(617) 850-2465
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95168487
CA
363LP0200X
Pediatric Nurse Practitioner
95011264
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11038252
FL
Other
Enumeration date
02/25/2019
Last updated
12/18/2025
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