Dehaney, Nicole Joy

Dehaney, Nicole Joy is an individual health care provider with primary practice located at 501 6Th Ave S , St Petersburg FL 33701-4634. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Dehaney, Nicole Joy can be contacted via phone (727) 767-4313.

Contact Information

Primary practice address
501 6Th Ave S St Petersburg FL 33701-4634
Phone: (727) 767-4313
Fax: (727) 767-4391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X APRN11000507 Florida

Profile Details

NPI number 1134696248
LBN Legal business name Dehaney, Nicole Joy
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2018
Last updated Dec 27th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134696248 NPPES
Florida MEDICAID PENDING

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