JENNIFER LYNN NICKOL (NPI# 1932620895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932620895 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN NICKOL |
| Credential | D.O |
| Practice Address |
1300 Miccosukee Rd Tallahassee FL 32308-5054 |
| Practice Telephone | 8504317900 |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2020-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | OS16938 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1300 MICCOSUKEE RD |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-5054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841261336 | Gregory Sydnor Laffitte | Physician Assistant | 1300 Miccosukee Rd, Hospitalists Group, Tallahassee, FL 32308-5054 | 2006-02-01 |
| 1275132987 | Anthony George Delegato | Nurse Practitioner | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-10-23 |
| 1790394039 | Muhammad Yasir Baloch | Student in an Organized Health Care Education/Training Program | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-07-22 |
| 1174131585 | Jiun-jye Jack Lai | Internal Medicine | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-07-21 |
| 1629695697 | Anna Ciara Lindsay Mason | Anesthesiologist Assistant | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-06-25 |
| 1578189528 | Rawan Majdalawi | Anesthesiologist Assistant | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-06-24 |
| 1124644349 | Cherie Danielle Eddinger | Anesthesiologist Assistant | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-06-23 |
| 1235754185 | Ricardo Manuel Morales | Anesthesiologist Assistant | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-06-16 |
| 1043834088 | Nicholas Heyse | Anesthesiologist Assistant | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-06-05 |
| 1558983205 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538794342 | Joy Christianson | Internal Medicine | 431 Tanbark Pl, Tallahassee, FL 32301-3374 | 2020-03-12 |
| 1659934222 | Synergy Health Care and Associates | Internal Medicine | 124 Marriott Dr Ste 104, Tallahassee, FL 32301-2981 | 2019-04-18 |
| 1922456268 | Susan Mary Manson Md Pl | Internal Medicine | 2547 Lakefair Dr, Tallahassee, FL 32317-7002 | 2016-05-26 |
| 1922343466 | Preventive Cardiology & Internal Medicine Associates, P.l. | Internal Medicine | 3606 Maclay Blvd S, Suite 104, Tallahassee, FL 32312-1277 | 2012-12-10 |
| 1407109812 | Bond Community Health Center | Internal Medicine | 1549 South Monroe Street, Bond Speciality and Wellness, Tallahassee, FL 32301 | 2012-10-23 |
| 1548516255 | American Care of North Florida, Inc | Internal Medicine | 1707 S Gadsden St, Tallahassee, FL 32301-5505 | 2012-07-31 |
| 1649550047 | Bond Community Health Center, Inc. | Internal Medicine | 1704 Joe Lewis Street, Tallahassee, FL 32304 | 2011-08-17 |
| 1457643462 | Lidia Maria Sepulveda Rubiera | Internal Medicine | 2626 Capital Medical Boulevard, Tallahassee, FL 32308 | 2011-05-09 |
| 1437462553 | Amara Okoli Emenike | Internal Medicine | 1607 Saint James Ct Ste 1, Tallahassee, FL 32308 | 2010-07-18 |
| 1639309842 | Bond Community Health Center | Internal Medicine | 2729-8 Municipal Way, Kay Freeman Health Center, Tallahassee, FL 32304 | 2009-07-22 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
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| 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.