Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crystal A Ciszek, FNP

Individual provider Family Nurse Practitioner · NPI 1124486089

Crystal A Ciszek, FNP is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2015, 11 years ago. Practices with At Home Palliative Care, LLC, a 6-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Georgia.

Years since qualifying
11
Licensed in
FL, GA
In the registry since
2016
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

10752 Deerwood Park Blvd Ste 100
Jacksonville, FL 32256-4846
Phone: (478) 290-0677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 774 Highway 96, Bonaire, GA 31005-3300 — (478) 988-5711
  • 104 Fairview Park Dr, Dublin, GA 31021-2500 — (478) 272-1366
  • 1831 E 71st St, Tulsa, OK 74136-3922 — (866) 949-0108

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11020853 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN209456 (GA)

Record details

NPI number1124486089
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 8, 2016
Last updated in NPPESSeptember 5, 2022
Certification dateSeptember 5, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice At Home Palliative Care, Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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