Individual provider · Type 1 NPI

Nicole Marie Antenucci, P.A.

Physician Assistant · Tripler Army Medical Center, HI

NPI number 1972739852 Active

Practice location

1 Jarrett White Rd, Tamc
Tripler Army Medical Center, HI 96859-5001

Mailing address

3 Shircliff Way, Ste 714
Jacksonville, FL 32204-4786

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9109691 (FL)
Medical Physician Assistant 363AM0700XMA052460 (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1972739852

Nicole Marie Antenucci, P.A.'s National Provider Identifier is 1972739852, issued on Jun 4, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tripler Army Medical Center, HI. The record was last updated on Jan 6, 2022.