Individual provider · Type 1 NPI
Mideline Gene
Nurse Practitioner · Lakeland, FL
Practice location
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Mailing address
1307 Harbour Blue St
Ruskin, FL 33570-8072
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN11041594 (FL) |
| Family Nurse Practitioner | 363LF0000X | 11041594 (FL) |
Nurse Practitioner: (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 wit…
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About NPI 1164397105
Mideline Gene's National Provider Identifier is 1164397105, issued on Oct 8, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lakeland, FL. The record was last updated on Mar 31, 2026.