Provider Demographics
NPI:1235909714
Name:KARAJIC, EDISA (FNP)
Entity Type:Individual
Prefix:
First Name:EDISA
Middle Name:
Last Name:KARAJIC
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8876 A C SKINNER PKWY UNIT 4505
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-0890
Mailing Address - Country:US
Mailing Address - Phone:314-596-6346
Mailing Address - Fax:
Practice Address - Street 1:8876 A C SKINNER PKWY UNIT 4505
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-0890
Practice Address - Country:US
Practice Address - Phone:314-596-6346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11030449363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily