Individual
CHERYL LYNN KOCISKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP ARNP-C
Contact information
Practice address
509 JACKSON ST N, ST PETERSBURG, FL 33705-1477
(727) 820-7800
Mailing address
1206 ROBIN RD S, ST PETERSBURG, FL 33707-3827
(727) 412-5214
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9363744
FL
363LP2300X
Primary Care Nurse Practitioner
H-125774
IA
Other
Enumeration date
05/29/2011
Last updated
04/30/2020
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