Individual provider · Type 1 NPI

Sean Ellis McMicken, NP

Nurse Practitioner · Bartow, FL

NPI number 1598848327 Active

Practice location

2200 Osprey Blvd
Bartow, FL 33830-3308

Mailing address

200 Corporate Blvd., Suite 201
Lafayette, LA 70508

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XARNP3170022 (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 1598848327

Sean Ellis McMicken, NP's National Provider Identifier is 1598848327, issued on Oct 23, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bartow, FL. The record was last updated on Dec 1, 2025.