Individual
ALYSSA FAYTH DOROTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-0411
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9358856
FL
363L00000X
Nurse Practitioner
0024180191
VA
363L00000X
Nurse Practitioner
APRN11001337
FL
363LA2100X
Acute Care Nurse Practitioner
0024180191
VA
363LA2100X
Acute Care Nurse Practitioner
11001337
FL
363LA2100X
Acute Care Nurse Practitioner
APRN11001337
FL
363LA2200X
Adult Health Nurse Practitioner
0024180191
VA
363LA2200X
Adult Health Nurse Practitioner
71017964A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11001337
FL
363LC0200X
Critical Care Medicine Nurse Practitioner
0024180191
VA
363LC0200X
Critical Care Medicine Nurse Practitioner
APRN11001337
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102470700
—
FL
01
—
PENDING
MEDICARE
FL
Enumeration date
01/09/2019
Last updated
04/16/2026
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