Individual provider · Type 1 NPI

Kristen Sussanne Eversole, PA

Physician Assistant · Lakeland, FL

NPI number 1811910243 Active

Practice location

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543

Fax (863) 687-1439

Mailing address

4045 Byrds Crossing Dr
Lakeland, FL 33813-4149

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9103496 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1811910243

Kristen Sussanne Eversole, PA's National Provider Identifier is 1811910243, issued on Jul 26, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lakeland, FL. The record was last updated on Feb 19, 2015.