Individual
CRYSTAL A CISZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10752 DEERWOOD PARK BLVD STE 100, JACKSONVILLE, FL 32256-4846
(478) 290-0677
Mailing address
463688 STATE ROAD 200, STE 1, #364, YULEE, FL 32097-0304
(478) 290-0677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11020853
FL
363LF0000X
Family Nurse Practitioner
RN209456
GA
Other
Enumeration date
02/08/2016
Last updated
09/05/2022
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