Ms. Stacy Rae Kiseljack
ARNP | Nurse Practitioner
1443 San Marco Blvd, Ufjp Pediatric Cardiovascular Center, Jacksonville
Florida, 32207-8565
904-306-3962
Ms. Stacy Rae Kiseljack is a Jacksonville, Florida based nurse practitioner. Active license number of Ms. Stacy Rae Kiseljack is ARNP2744942 in Florida. Her current practice location is 1443 San Marco Blvd, Ufjp Pediatric Cardiovascular Center, Jacksonville. Patients can reach her at 904-306-3962 or can fax her at 904-493-2363. Ms. Stacy Rae Kiseljack is ARNP and her NPI number (Unique professional ID assigned by NPPES) is 1356300578.
Ms. Stacy Rae Kiseljack has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ms. Stacy Rae Kiseljack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ms. Stacy Rae Kiseljack |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | ARNP |
| Practice Address: | 1443 San Marco Blvd, Ufjp Pediatric Cardiovascular Center, Jacksonville,
Florida, 32207-8565 |
| Phone: | 904-306-3962 |
| Fax: | 904-493-2363 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1356300578 |
| NPI Enumeration Date: | 17 Mar, 2006 |
| NPI Last Update On: | 21 Oct, 2010 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Stacy Rae Kiseljack are as mentioned below.
| License Number | Specialization | State | Status | |
| ARNP2744942 | | Florida | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Stacy Rae Kiseljack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3040267-00 | Medicaid | Florida | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ms. Stacy Rae Kiseljack
Po Box 44008, Ufjp Provider Enrollment
Jacksonville, Florida |
| Zip: | 32231-4008 |
| Phone Number: | 904-244-3199 |
| Fax Number: | 904-244-3425 |
Patients can reach Ms. Stacy Rae Kiseljack at
1443 San Marco Blvd, Ufjp Pediatric Cardiovascular Center, Jacksonville, Florida or can
call to book an appointment on 904-306-3962.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.