Provider Demographics
NPI:1952095366
Name:FELTON, CRISTINA DENIECE (MSN, APRN FNP-C)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:DENIECE
Last Name:FELTON
Suffix:
Gender:F
Credentials:MSN, APRN FNP-C
Other - Prefix:
Other - First Name:CRISTINA
Other - Middle Name:DENIECE
Other - Last Name:STANDISH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 44008
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32231-4008
Mailing Address - Country:US
Mailing Address - Phone:904-427-8453
Mailing Address - Fax:904-633-0958
Practice Address - Street 1:841 PRUDENTIAL DR STE 1900
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-8373
Practice Address - Country:US
Practice Address - Phone:904-633-0920
Practice Address - Fax:904-633-0958
Is Sole Proprietor?:No
Enumeration Date:2023-06-07
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11026793363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily