| Doctor Name: | ALISSA S MCQUISTON |
| NPI Number: | 1063447290 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN9234714 |
| Business Practice Address: | 1215 N Peacock Ave Perry, FL - 323472117 |
| Business Phone Number: | 8505845087 |
| Business Fax Number: | 8505848653 |
| Mailing Address: | 1215 N Peacock Ave, PERRY |
| State: | FL |
| Postal Code: | 323472117 |
| Phone Number: | 8505845087 |
| Fax Number: | 8505848653 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | RN9234714 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |