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
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:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.