Individual provider · Type 1 NPI
Shurine L. Nichols, NURSE PRACTITONER
Primary Care Nurse Practitioner · Lakeland, FL
NPI number
1730737370
Active
Practice location
3109 Strawberry Ln
Lakeland, FL 33801-9233
Mailing address
PO Box 1137
Kathleen, FL 33849-1137
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | AG07190314 (FL) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1730737370
Shurine L. Nichols, NURSE PRACTITONER's National Provider Identifier is 1730737370, issued on Aug 27, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Lakeland, FL. The record was last updated on Jan 11, 2025.