Individual
SHELLEY NICHOLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
601 5TH ST S, ST PETERSBURG, FL 33701-4804
(727) 767-3636
(727) 767-3638
Mailing address
601 5TH ST S, ST PETERSBURG, FL 33701-4804
(727) 767-3636
(727) 767-3638
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
9267307
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9267307
FL
Other
Enumeration date
01/05/2018
Last updated
10/11/2022
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