MEDICARE: AUDREY JANE NOLES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	11044094	FL

General Provider Information

NPI Number	:	1467315242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUDREY JANE NOLES

Provider Business Mailing Address
First Line	:	4310 BURLINGTON AVE N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33713-7326
Country	:	US
Telephone Number	:	734-341-5317
Fax Number	:

Provider Business Practice Location Address
First Line	:	4310 BURLINGTON AVE N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33713-7326
Country	:	US
Telephone Number	:	734-341-5317
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

Similar Medicare Providers

1881375541 — MRS. BONNIE K BROWN
Practice Location Address:

7326 10TH ST N
ST PETERSBURG, FL
33702-5102

Practice Phone: 727-522-1975
Practice Fax:

1831252253 — DR. CYNTHIA RAE MORAN D.D.S.
Practice Location Address:

4140 THIELMAN LN , SUITE 302
SAINT CLOUD, MN
56301-7326

Practice Phone: 320-252-7752
Practice Fax: 320-252-2289

1104093384 — MRS. SHARON LOUISE HOGAN COTA/L
Practice Location Address:

46 BRYANT RD
SAINT ALBANS, ME
04971-7326

Practice Phone: 207-938-2546
Practice Fax: 207-938-2546

1558643817 — MODERN DENTAL PROFESSIONALS, MN PC
Practice Location Address:

4140 THIELMAN LN , SUITE 302
SAINT CLOUD, MN
56301-7326

Practice Phone: 320-252-7752
Practice Fax: 320-252-2289

1922463173 — MARIE BOURNE LPC
Practice Location Address:

4140 THIELMAN LN
SAINT CLOUD, MN
56301-7326

Practice Phone: 320-253-5930
Practice Fax:

1184198772 — LATASHA L SIMMONS
Practice Location Address:

2462 13TH AVE N APT 308
SAINT PETERSBURG, FL
33713-5855

Practice Phone: 813-401-5356
Practice Fax:

Directions to “ AUDREY JANE NOLES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.