NPI 1922414879 · live from the CMS NPI Registry
Marissa Gianakas, ARNP
Nurse Practitioner in Jacksonville, FL. National Provider Identifier 1922414879, active.
NPI record
| NPI | 1922414879 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 807 Childrens Way, Jacksonville, FL 32207 |
| Practice phone | 904-697-3793 |
| Mailing address | Po Box 191, Rockland, DE 19732 |
| Enumerated | July 10, 2014 |
| Last updated | March 6, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | ARNP9315366 (FL) |
| Nurse Practitioner primary | 363L00000X | ARNP9315366 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.