MEDICARE: DR. ALICIA SELF DNP-FNP-C

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	163W00000X	Registered Nurse	RN9655562	FL
2	363L00000X	Nurse Practitioner	308247	AZ
3	363LF0000X	Family Nurse Practitioner	APRN11002709	FL
4	363L00000X	Nurse Practitioner	C-APN.0102110-C-NP	CO

General Provider Information

NPI Number	:	1154885804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALICIA SELF DNP-FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 971
Second Line	:
City	:	KATHLEEN
State	:	FL
Zip	:	33849-0971
Country	:	US
Telephone Number	:	863-944-6977
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 E MAIN ST # 435
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33801-4628
Country	:	US
Telephone Number	:	863-595-6909
Fax Number	:

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

Provider Enumeration Date	:	01/28/2019
Last Update Date	:	03/27/2025

Similar Medicare Providers

1245928571 — QUYNN KIERS LCSW
Practice Location Address:

211 E MAIN ST # 412
LAKELAND, FL
33801-4628

Practice Phone: 781-202-5132
Practice Fax:

1649025941 — SUNCORE TRANSPORT LLC
Practice Location Address:

211 E MAIN ST
LAKELAND, FL
33801-4628

Practice Phone: 863-225-9555
Practice Fax:

1942013032 — HEALNEXXT WOUNDCARE LLC
Practice Location Address:

211 E MAIN ST
LAKELAND, FL
33801-4628

Practice Phone: 863-860-8093
Practice Fax:

1457154379 — OPULENT MEDICAL CARE LLC
Practice Location Address:

211 E MAIN ST # 435
LAKELAND, FL
33801-4628

Practice Phone: 863-944-6977
Practice Fax:

1538890082 — K&K LOVING HANDS LLC
Practice Location Address:

2015 TENNYSON ST
LAKELAND, FL
33801-6061

Practice Phone: 863-838-2735
Practice Fax:

1700667227 — K&K LOVING HANDS LLC
Practice Location Address:

2015 TENNYSON ST
LAKELAND, FL
33801-6061

Practice Phone: 863-838-2735
Practice Fax:

Directions to “ DR. ALICIA SELF DNP-FNP-C” 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 © 2007-2026 (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.