| Nicole Jackson Holcombe, CRNA | |
|
106 Swift Creek Ct, Niceville, FL 32578-3710 | |
| (443) 867-0516 | |
| Not Available |
| Full Name | Nicole Jackson Holcombe |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 106 Swift Creek Ct, Niceville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598513996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 11032749 (Florida) | Primary |
| Entity Name | Anesthesia Physician Solutions Of North Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164932901 PECOS PAC ID: 5597066001 Enrollment ID: O20151228002033 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Jackson Holcombe, CRNA 106 Swift Creek Ct, Niceville, FL 32578-3710 Ph: (443) 867-0516 | Nicole Jackson Holcombe, CRNA 106 Swift Creek Ct, Niceville, FL 32578-3710 Ph: (443) 867-0516 |
Mr. Douglas Cameron Mcouat, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 45 Hampton Circle, Niceville, FL 32578 Phone: 850-842-2642 | |
William Cadwell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1114 John Sims Pkwy, Pmb381, Niceville, FL 32578 Phone: 850-897-9792 Fax: 850-699-2081 | |
B Victoria Monzon Lemond, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 285 Wava Ave, Niceville, FL 32578 Phone: 850-585-9901 |