Nicole Adamiak, APRN
Individual provider Active NPI Nurse Practitioner · Jacksonville, FL
NPI 1457745671 · NPPES record last updated Jan 6, 2021
Key facts
- NPI
- 1457745671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN9268141 (FL)
- Practice address
- 3101 University Blvd S Ste 102
Jacksonville, FL 32216-2750 - Phone
- (904) 737-1171
- Fax
- (904) 721-4022
- NPI assigned
- Mar 25, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9268141 | FL | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9268141 | FL | |
| Nurse Practitioner | 363L00000X | APRN9268141 | FL | Yes |
Addresses
Primary practice location
3101 University Blvd S Ste 102
Jacksonville, FL 32216-2750
Mailing address
PO Box 45443
Salt Lake City, UT 84145-0443
Phone (904) 202-1032
Other providers in Jacksonville, FL
- Michael Adalia
- Christopher Adalio
- Rabie Ibrahim Adam-Eldien
- Asher Adamec
- Vinicius Adami Vayego Fornazari
- Noor Adamo
- Latricia Denise Adams-Durham
- Christina Marie Adams-Gilmer
- Caesar Adams
- Caleb Adams
All providers in Jacksonville, FL · Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.