Healthcare Provider Details

I. General information

NPI: 1386552818
Provider Name (Legal Business Name): NIKKI LEE CONCIERGE NURSING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 SE OCEAN BLVD
STUART FL
34996-2511
US

IV. Provider business mailing address

1001 SE OCEAN BLVD
STUART FL
34996-2511
US

V. Phone/Fax

Practice location:
  • Phone: 772-358-8872
  • Fax: 347-942-1098
Mailing address:
  • Phone: 772-358-8872
  • Fax: 347-942-1098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NIKKISHA MARAGH
Title or Position: OWNER
Credential: APRN
Phone: 347-942-1098