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Mrs. Madelyn M Nickerson, PA-C
Physician Assistant in St Petersburg, Florida
NPI 1609327816

Madelyn M Nickerson is a Physician Assistant based in St Petersburg, FL. Madelyn M Nickerson practices in St Petersburg, FL and has the professional credentials of PA-C. The NPI Number for Madelyn M Nickerson is 1609327816 and holds a License No. PA9109804 (Florida).

The current practice location address for Madelyn M Nickerson is 6801 4Th St N, St Petersburg, FL and can be reached out via phone at 727-822-3238 and via fax at 727-823-1278.

Location: 6801 4Th St N, St Petersburg, FL, 33702-6844
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609327816
Provider Name
Madelyn M Nickerson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
6801 4Th St N, St Petersburg, FL, 33702-6844
Phone Number
727-822-3238
Fax Number
727-823-1278
Provider Enumeration Date
10/23/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019646400 05 FL
institution
Provider Business Practice Location Address Details
Address
6801 4Th St N
City
St Petersburg
State
Florida
Zip
33702-6844
Phone Number
727-822-3238
Fax Number
727-823-1278
person
Provider Business Mailing Address Details
Address
6801 4Th St N
City
St Petersburg
State
Florida
Zip
33702-6844
Phone Number
727-822-3238
Fax Number
727-823-1278
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA9109804 (Florida)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA9109804 (Florida)
Definition
Definition to come...
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