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NPI Code Detail

MEDICARE: NADIA HANKERSON BS, MSN, RN, AGNP-C

MEDICARE: NADIA HANKERSON BS, MSN, RN, AGNP-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
1363LA2200XAdult Health Nurse PractitionerRN196134GA
2363LA2200XAdult Health Nurse PractitionerARNP9274013FL

General Provider Information

NPI Number : 1821448556
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADIA HANKERSON BS, MSN, RN, AGNP-C
Provider Business Mailing Address
First Line : 502 VILLA PARK RD
Second Line :
City : POINCIANA
State : FL
Zip : 34759-6103
Country : US
Telephone Number : 305-815-8991
Fax Number :
Provider Business Practice Location Address
First Line : 2450 N ORANGE BLOSSOM TRL
Second Line :
City : KISSIMMEE
State : FL
Zip : 34744-2316
Country : US
Telephone Number : 407-846-4343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2016
Last Update Date : 06/14/2016

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