Provider Demographics
NPI:1841623386
Name:PYE, KRISTYN ALEASE (APRN)
Entity type:Individual
Prefix:MRS
First Name:KRISTYN
Middle Name:ALEASE
Last Name:PYE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:KRISTYN
Other - Middle Name:ALEASE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:2121 PARK STREET
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204
Mailing Address - Country:US
Mailing Address - Phone:904-387-6200
Mailing Address - Fax:904-387-0261
Practice Address - Street 1:7741 POINT MEADOWS DRIVE
Practice Address - Street 2:UNIT 207
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256
Practice Address - Country:US
Practice Address - Phone:904-997-0023
Practice Address - Fax:904-997-0155
Is Sole Proprietor?:No
Enumeration Date:2013-08-20
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9262628363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily