Individual
KELSEY N MASCIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6930 BONNEVAL RD STE 2, JACKSONVILLE, FL 32216-6084
(904) 854-6899
(904) 376-3210
Mailing address
PO BOX 746652, ATLANTA, GA 30374-6652
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11018761
FL
363LF0000X
Family Nurse Practitioner
APRN11018761
FL
Other
Enumeration date
04/30/2025
Last updated
05/21/2025
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