Pamela Joy Kiselica
Individual provider Active NPI Case Manager/Care Coordinator · Jasper, FL
NPI 1861635690 · NPPES record last updated Apr 9, 2009
Key facts
- NPI
- 1861635690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 406 10TH Ave NW
Jasper, FL 32052-5844 - Phone
- (386) 792-1338
- NPI assigned
- Apr 9, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
406 10TH Ave NW
Jasper, FL 32052-5844
Mailing address
406 10TH Ave NW
Jasper, FL 32052-5844
Other providers in Jasper, FL
- Jasper Medical Group, LLC
- Jhawks Homemaker and Companionship
- Jhawks Transportation
- Lore Johns
- Ashley Paige Jones
- Live Oak Hma LLC
- Live Oak Hma LLC
- Live Oak Immediate Care Center LLC
- Lovingcare Home Care Services LLC
- Latia Lumpkin
All providers in Jasper, FL · Case Manager/Care Coordinator in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.