Individual provider · Type 1 NPI

Nicole Lannan, APRN

Family Nurse Practitioner · Ponte Vedra, FL

NPI number 1508778481 Active

Practice location

4210 Valley Ridge Blvd Ste 110
Ponte Vedra, FL 32081-5171

Call (904) 747-6403 Map

Mailing address

184 Turtle Cove Ct
Ponte Vedra Beach, FL 32082-4517

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN11034259 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1508778481

Nicole Lannan, APRN's National Provider Identifier is 1508778481, issued on Sep 17, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ponte Vedra, FL. The record was last updated on Sep 25, 2026.