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Individual

JALISA L MCKINNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
203 N MARION ST, TAMPA, FL 33602-4914
(813) 474-9804
Mailing address
203 N MARION ST, TAMPA, FL 33602-4914
(813) 474-9804

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11047270
FL

Other

Enumeration date
05/05/2026
Last updated
05/06/2026
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