Individual
NICOLE HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2553 E SILVER SPRINGS BLVD, OCALA, FL 34470-7009
(352) 351-8077
Mailing address
2553 E. SS BLVD, OCALA, FL 34470
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
47043430259
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11027792
FL
Other
Enumeration date
07/03/2018
Last updated
09/21/2023
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