Individual
KIZZY MICHELLE MCCRAY-SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4266 SUNBEAM RD, JACKSONVILLE, FL 32257-2425
(904) 268-5200
Mailing address
1588 NE 47TH PL, GAINESVILLE, FL 32609-8957
(352) 246-4836
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11004298
FL
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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