| Jane M. Nichilo, Arnp, Llc | |
|
5400 Seminole Blvd Seminole FL 33772-7317 | |
| (727) 501-3208 | |
| Not Available |
| Full Name | Jane M. Nichilo, Arnp, Llc |
|---|---|
| Speciality | Registered Nurse |
| Location | 5400 Seminole Blvd, Seminole, Florida |
| Authorized Official Name and Position | Jane M Nichilo (PMHNP-BC) |
| Authorized Official Contact | 8304469525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jane M. Nichilo, Arnp, Llc 11795 Camphor Way Seminole FL 33772-5700 Ph: (830) 446-9525 | Jane M. Nichilo, Arnp, Llc 5400 Seminole Blvd Seminole FL 33772-7317 Ph: (727) 501-3208 |
| NPI Number | 1932687852 |
|---|---|
| Provider Enumeration Date | 08/02/2018 |
| Last Update Date | 08/02/2018 |
| Medicare PECOS PAC ID | 3274884911 |
|---|---|
| Medicare Enrollment ID | O20180919003520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932687852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 9456593 (Florida) | Primary |
| Provider Name | Jane M. Nichilo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578963088 PECOS PAC ID: 5092066738 Enrollment ID: I20180919003706 |
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