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NPI Code Detail

MEDICARE: NICOLE HUTSON KING APRN, FNP-C

MEDICARE:   NICOLE HUTSON KING  APRN, 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
1363LF0000XFamily Nurse Practitioner1020739FL

General Provider Information

NPI Number : 1194432120
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE HUTSON KING APRN, FNP-C
Provider Business Mailing Address
First Line : 811 SW 18TH ST
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33315-2033
Country : US
Telephone Number : 270-978-1585
Fax Number :
Provider Business Practice Location Address
First Line : 811 SW 18TH ST
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33315-2033
Country : US
Telephone Number : 270-978-1585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2022
Last Update Date : 10/31/2022

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Directions to “ NICOLE HUTSON KING APRN, FNP-C” Practice Location

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