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Individual

KRISSY ANN JIANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-AC

Contact information

Practice address
13535 NEMOURS PKWY, ORLANDO, FL 32827-7402
(407) 567-4000
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(046) 697-4127
(904) 697-5102

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9494254
FL
363LP0222X
Critical Care Pediatric Nurse Practitioner
865389
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101385000
FL
Enumeration date
02/08/2017
Last updated
07/26/2019
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