Provider Demographics
NPI:1215335724
Name:MARSHALL, KRISTIN L (DNP)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:L
Last Name:MARSHALL
Suffix:
Gender:
Credentials:DNP
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:
Other - Last Name:STRODE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1000 RIVERSIDE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204-4154
Mailing Address - Country:US
Mailing Address - Phone:904-388-7521
Mailing Address - Fax:904-388-3541
Practice Address - Street 1:1000 RIVERSIDE AVE STE 200
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-4154
Practice Address - Country:US
Practice Address - Phone:904-388-7521
Practice Address - Fax:904-388-3541
Is Sole Proprietor?:No
Enumeration Date:2014-12-15
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9326131363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily