Provider Demographics
NPI:1013419654
Name:GURSKIY, ALEENA (ARNP, FNP-BC, MSN)
Entity Type:Individual
Prefix:
First Name:ALEENA
Middle Name:
Last Name:GURSKIY
Suffix:
Gender:F
Credentials:ARNP, FNP-BC, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 W PRICE BLVD
Mailing Address - Street 2:PMB 110
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34288-1814
Mailing Address - Country:US
Mailing Address - Phone:267-679-8037
Mailing Address - Fax:
Practice Address - Street 1:10739 DEERWOOD PARK BLVD STE 200
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-4839
Practice Address - Country:US
Practice Address - Phone:904-719-7707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-28
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9467640363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily