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Mrs. Nickole Aimee Bacon, APRN-C
Nurse Practitioner in St Petersburg, Florida
NPI 1215432224

Nickole Aimee Bacon is a Nurse Practitioner based in Clearwater, FL. Nickole Aimee Bacon practices in St Petersburg, FL and has the professional credentials of APRN-C. The NPI Number for Nickole Aimee Bacon is 1215432224 and holds a License No. 9365609 (Florida).

The current practice location address for Nickole Aimee Bacon is 630 Pasadena Ave S, St Petersburg, FL and can be reached out via phone at 727-360-1784 and via fax at 727-360-1823.

Location: 630 Pasadena Ave S, St Petersburg, FL, 33759-3012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215432224
Provider Name
Nickole Aimee Bacon
Credential
APRN-C
Provider Entity Type
Individual
Gender
Female
Address
630 Pasadena Ave S, St Petersburg, FL, 33759-3012
Phone Number
727-360-1784
Fax Number
727-360-1823
Provider Enumeration Date
03/30/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
024515800 05 FL
institution
Provider Business Practice Location Address Details
Address
630 Pasadena Ave S
City
St Petersburg
State
Florida
Zip
33707-2128
Phone Number
727-360-1784
Fax Number
727-360-1823
person
Provider Business Mailing Address Details
Address
630 Pasadena Ave S
City
St Petersburg
State
Florida
Zip
33707-2128
Phone Number
727-360-1784
Fax Number
727-360-1823
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
APRN9365609 (Florida)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
9365609 (Florida)
Definition
Definition to come...
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