MEDICARE: LUCINDA CHAPPEL FAULKNER ARNP

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	363L00000X	Nurse Practitioner	ARNP3249262	FL

General Provider Information

NPI Number	:	1568512531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCINDA CHAPPEL FAULKNER ARNP

Provider Business Mailing Address
First Line	:	650 SE INDIAN ST STE 4
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34997-5565
Country	:	US
Telephone Number	:	772-403-2229
Fax Number	:	772-403-2230

Provider Business Practice Location Address
First Line	:	4155 BAKER ST NE STE 100
Second Line	:
City	:	COVINGTON
State	:	GA
Zip	:	30014-1405
Country	:	US
Telephone Number	:	770-788-0620
Fax Number	:

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

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	05/14/2026

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