Individual
MRS. KRISTIN L EVERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5220 BELFORT RD, STE 130, JACKSONVILLE, FL 32256-6017
(904) 446-3451
(904) 446-3013
Mailing address
5220 BELFORT RD, STE 130, JACKSONVILLE, FL 32256-6017
(904) 446-3451
(904) 446-3013
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
ARNP2649042
FL
207RC0000X
Cardiovascular Disease Physician
2649042
FL
207RC0000X
Cardiovascular Disease Physician
ARNP 2649042
FL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
ARNP2649042
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003127800
—
FL
Enumeration date
10/10/2006
Last updated
04/04/2022
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