Individual
KATHRINE ROSE POLISTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
Mailing address
800 PRUDENTIAL DR # 1100, JACKSONVILLE, FL 32207-8202
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9310012
FL
Other
Enumeration date
06/28/2017
Last updated
03/17/2018
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