STEPHANIE KISSOON
NPI 1043037856
Licensed Practical Nurse in Tamarac, FL

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since September 23, 2024

7710 NW 71ST CT, TAMARAC, FL 33321(954) 758-8725 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 1, 2024, Sep 23, 2024 (2 updates tracked since 2024).

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About Stephanie Kissoon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE KISSOON (NPI 1043037856) is an individual licensed practical nurse in Tamarac, Florida, licensed in Florida (5243526) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1043037856

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSTEPHANIE KISSOON

Location Address7710 NW 71ST CTTamarac, FL 33321-2973

Mailing Address1305 Ne 12th StFort Lauderdale, FL 33304-2256 · (954) 909-8386

Phone(954) 758-8725

Sole ProprietorNo

Enumeration DateSeptember 23, 2024

Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration

NPPES CertifiedOctober 1, 2024

✔ NPI 1043037856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in FL · 5243526

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

7710 NW 71ST CT, Tamarac, FL 33321

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