Healthcare Provider Details

I. General information

NPI: 1801766027
Provider Name (Legal Business Name): NICOLE MARKIE PARKER APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2025
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7976 SEMINOLE BLVD STE 1
SEMINOLE FL
33772-4899
US

IV. Provider business mailing address

3251 N MCMULLEN BOOTH RD STE 303
CLEARWATER FL
33761-2022
US

V. Phone/Fax

Practice location:
  • Phone: 727-231-1800
  • Fax:
Mailing address:
  • Phone: 727-725-6110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11043513
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: