Individual
KRISTY LAINE O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
715 N LAKE AVE, LAKELAND, FL 33801-1908
(863) 519-0575
(863) 582-9251
Mailing address
PO BOX 1559, BARTOW, FL 33831-1559
(863) 519-0575
(863) 582-9251
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
14746
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9234244
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841773140
—
FL
Enumeration date
09/12/2018
Last updated
01/20/2026
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