Individual provider · Type 1 NPI

Dmitriy Shishkin

Nurse Practitioner · Daytona Beach, FL

NPI number 1891230371 Active

Practice location

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

Call (386) 255-2340 Map

Mailing address

PO Box 100265
Gainesville, FL 32610-0265

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X9288346 (FL)
Nurse Practitioner Primary 363L00000XAPRN9288346 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1891230371

Dmitriy Shishkin's National Provider Identifier is 1891230371, issued on Dec 20, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Daytona Beach, FL. The record was last updated on Oct 24, 2022.