Dmitriy Shishkin

Nurse Practitioner · Daytona Beach, FL

Individual Active NPI

NPI number 1891230371

Practice location

311 N Clyde Morris Blvd
Daytona Beach, FL 32114-2781
Phone
(386) 255-2340

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NPI record

NPI
1891230371
Entity type
Individual (Type 1)
Enumeration date
December 20, 2016
Last updated
October 24, 2022
Certified
October 24, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X APRN9288346 FL
Adult Health Nurse Practitioner 363LA2200X 9288346 FL

Mailing address

PO Box 100265
Gainesville, FL 32610-0265
Phone
(352) 273-9000

Other practice locations (1)

  • 1600 SW Archer Rd, Gainesville, FL 32610-3620 · (352) 273-9000

About Dmitriy Shishkin

Dmitriy Shishkin is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 311 N Clyde Morris Blvd, Daytona Beach, FL 32114-2781. The NPI number 1891230371 was assigned on December 20, 2016 and the record was last updated on October 24, 2022.

Dmitriy Shishkin lists 2 licenses in the registry: #APRN9288346 (FL) for Nurse Practitioner; #9288346 (FL) for Adult Health Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dmitriy Shishkin?

The NPI number is 1891230371.

What is the phone number of Dmitriy Shishkin?

The phone number listed for the practice location is (386) 255-2340.

Where is Dmitriy Shishkin located?

311 N Clyde Morris Blvd, Daytona Beach, FL 32114-2781.

What is the taxonomy code for Dmitriy Shishkin?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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