Felton, Nicole Felicia

Felton, Nicole Felicia is an sole proprietor health care provider with primary practice located at 9267 Canary Ivy Ln , Jacksonville FL 32219-6001. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Felton, Nicole Felicia can be contacted via phone (904) 535-8218.

Contact Information

Primary practice address
9267 Canary Ivy Ln Jacksonville FL 32219-6001
Phone: (904) 535-8218
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X

Profile Details

NPI number 1316557630
LBN Legal business name Felton, Nicole Felicia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2020
Last updated Aug 1st, 2020 - about 6 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 1316557630 NPPES
Florida MEDICAID 203642802

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