NICOLE MARIE NEIDHART


Address: 915 W Monroe St Ste 100, Jacksonville, FL 32204-1177
Phone: 9045181398

NICOLE MARIE NEIDHART (NPI# 1750490819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750490819
Entity Type Individual
Full Name NICOLE MARIE NEIDHART
Other Name NICOLE MARIE THOMASNEIDHART
Credential ARNP, CNM
Practice Address 915 W Monroe St Ste 100
Jacksonville
FL 32204-1177
Mailing Address Po Box 1506
Callahan
FL 32011-1506
Practice Telephone 9045181398
Practice Fax Number 9043942811
Mailing Telephone 9044247206
Enumeration Date 2006-08-30
Last Update Date 2020-03-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
3317462 FL Physician Assistants & Advanced Practice Nursing Providers
N 367A00000X Advanced Practice Midwife 3317462 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 915 W MONROE ST STE 100
City JACKSONVILLE
State FL
Zip Code 32204-1177

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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1912374489 Jessica Anne Hough Nurse Practitioner 1510 Riverplace Blvd, Jacksonville, FL 32207-9017 2015-08-31
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1366752842 Emily Opdycke Nurse Practitioner 14540 Old Saint Augustine Rd Ste 2497, Jacksonville, FL 32258-7420 2010-10-18
1679650741 Gayle Y. Lewis Nurse Practitioner 622 Grove Street, Jacksonville, OR 97530-1198 2006-11-01
1962410720 Benita Suzette Corbitt-cherry Nurse Practitioner 2133 Broadway Ave, Jacksonville, FL 32209-7513 2006-08-04
1952354821 Lorelei Sinnett Nurse Practitioner 3225 University Blvd. South, Suite 101, Jacksonville, FL 32216 2006-05-19
1548263098 Linda Smoot Sayko Nurse Practitioner 612 College St, Jacksonville, NC 28540-5311 2005-05-28
1154963403 Jessica Hays Nurse Practitioner 4063 Salisbury Road North, Suite 202, Jacksonville, FL 32216 2019-10-08
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Competitor

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City JACKSONVILLE
Zip Code 32204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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