Organization · Type 2 NPI

ST Lucie Emergency Group LLC

Nurse Practitioner · Fort Pierce, FL

NPI number 1164409702 Active

Practice location

1700 S 23rd St
Fort Pierce, FL 34950-4803

Mailing address

200 Corporate Blvd, Suite 201
Lafayette, LA 70508-3870

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed

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 1164409702

ST Lucie Emergency Group LLC's National Provider Identifier is 1164409702, issued on Dec 26, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Pierce, FL. The record was last updated on Sep 11, 2025.