ANISSA BRISBANE-MCFADDEN (NPI# 1033609789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033609789 |
| Entity Type | Individual |
| Full Name | ANISSA BRISBANE-MCFADDEN |
| Credential | ARNP |
| Practice Address |
6484 Fort Caroline Rd Jacksonville FL 32277-2042 |
| Mailing Address |
6520 Fort Caroline Rd Jacksonville FL 32277-2044 |
| Practice Telephone | 9047447300 |
| Practice Fax Number | 9047224271 |
| Mailing Telephone | 9047453618 |
| Mailing Fax Number | 9047224271 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
9166171 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
ARNP9166171 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6484 FORT CAROLINE RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32277-2042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144222696 | Elaine G Holmes | Family Medicine | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2005-08-15 |
| 1225656085 | Kameron David Mullaney | Physician Assistant | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2020-07-08 |
| 1356998280 | Chima Ekwueme | Nurse Practitioner | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2019-08-26 |
| 1669913448 | Lalita Kummeth | Nurse Practitioner | 6484 Fort Caroline Rd, Jacksonville, FL 32277 | 2017-03-14 |
| 1386017689 | Amanda Dupree | Nurse Practitioner | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2015-11-09 |
| 1750761094 | Andrew Jervey Hunt | Family Medicine | 6484 Fort Caroline Rd, Jacksonville, FL 32277 | 2015-06-02 |
| 1407259476 | Carolyn Mcclinton | Nurse Practitioner | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2014-10-03 |
| 1659773562 | James Beatty | Physician Assistant | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2014-09-23 |
| 1629310909 | Arun Joseph | Pediatrics | 6484 Fort Caroline Rd, Jacksonville, FL 32277 | 2013-03-25 |
| 1609125913 | Charles C Greene Md Phd Pa | Otolaryngology | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2012-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408574 | Ortho 99 Plus 1 | Dentist | 7410 Merrill Road, Suite 2, Jacksonville, FL 32277 | 2020-02-10 |
| 1376042176 | Seginald Rashaad Chaney | Adult Companion | 5885 Edenfield Rd, Charter Landing Apartments Apt E-10, Jacksonville, FL 32277 | 2018-02-07 |
| 1578966875 | Erin Chretien | Behavioral Analyst | 3780 University Club Blvd Apt 3204, Jacksonville, FL 32277 | 2014-09-30 |
| 1518300128 | Michel Joseph Sabra | Surgery | 5053 Toproyal Ln, Jacksonville, FL 32277 | 2013-04-12 |
| 1982977443 | A1 Care Systems Inc | Assisted Living Facility | 7449 Sandhurst Rd S, Jacksonville, FL 32277 | 2012-02-14 |
| 1851453211 | Ajay Doddapaneni | Radiology | 7920 Merrill Rd Unit 708, Jacksonville, FL 32277 | 2006-12-14 |
| 1821184565 | Ramsey Bader Salem | Dentist | 6237 Merrill Road, Jacksonville, FL 32277 | 2006-10-04 |
| 1164697157 | Brianne Graves | Psychologist | 3517 Peeler Rd, Unit 11, Jacksonville, FL 32277-0616 | 2008-04-29 |
| 1407217391 | Kathleen Bashore | Occupational Therapy Assistant | 8057 Le Havre Dr N, Jacksonville, FL 32277-0902 | 2016-03-18 |
| 1518431394 | Daniel Corristan | Specialist/Technologist | 7721 Leesburg Dr S, Jacksonville, FL 32277-0925 | 2019-01-15 |
| Find all providers in zip 32277 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033729546 | Anderson Healthcare Masters LLC | Nurse Practitioner | 2332 Brian Lakes Dr E, Jacksonville, FL 32221-2802 | 2020-08-10 |
| 1336763044 | Maytin Integrated Healthcare, Inc | Nurse Practitioner | 12443 San Jose Blvd Ste 403, Jacksonville, FL 32223-8650 | 2020-05-29 |
| 1821628207 | Latasha Wiley | Nurse Practitioner | 11698 Alexandra Dr, Jacksonville, FL 32218-8874 | 2020-01-24 |
| 1396204871 | Tanza L Walker | Nurse Practitioner | 6135 Ricker Rd, Jacksonville, FL 32244-2605 | 2019-03-14 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1972087682 | Telicia Fisher | Nurse Practitioner | 11634 Brian Lakes Dr, Jacksonville, FL 32221-2855 | 2018-09-18 |
| 1629555834 | Jose R Garcia | Nurse Practitioner | 9310 Old Kings Rd S Ste 1303, Jacksonville, FL 32257-8100 | 2018-07-20 |
| 1730694290 | David Jonathan Tonto | Nurse Practitioner | 11250 Baptist Health Dr, Jacksonville, FL 32218-2978 | 2017-12-06 |
| 1316293384 | Marta Kay Spaulding Wells | Nurse Practitioner | 13720 Weeping Willow Way, Jacksonville, FL 32224-6899 | 2012-07-27 |
| 1316057029 | Kristine H Thompson | Nurse Practitioner | 2563 Oak St, Jacksonville, FL 32204-4559 | 2006-08-30 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32277 |
Please comment or provide details below to improve the information on ANISSA BRISBANE-MCFADDEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.