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NPI Code Detail

MEDICARE: MEGHAN LEIGH CHISLETT APRN

MEDICARE: MEGHAN LEIGH CHISLETT APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN11007609FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548886153
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGHAN LEIGH CHISLETT APRN
Provider Business Mailing Address
First Line : 330 CORPORATE WAY STE 200
Second Line :
City : ORANGE PARK
State : FL
Zip : 32073-6214
Country : US
Telephone Number : 904-282-6331
Fax Number : 904-866-4818
Provider Business Practice Location Address
First Line : 6555 CHESTER AVE STE 1
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-2279
Country : US
Telephone Number : 904-265-8209
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2020
Last Update Date : 06/17/2026

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Directions to “ MEGHAN LEIGH CHISLETT APRN” Practice Location

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