Individual
MRS. KASEY ACKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
40100 HIGHWAY 27, DAVENPORT, FL 33837-5906
(863) 422-4971
Mailing address
15011 GLORY DR SE, HUNTSVILLE, AL 35803-2445
(540) 850-1768
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11032864
FL
363LA2100X
Acute Care Nurse Practitioner
0024184852
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024184852
VIRGINIA BOARD OF NURSING
VA
Enumeration date
08/16/2022
Last updated
05/22/2024
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