Individual
MS. SUKAINA NICOPHENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP-C, PMHNP-C
Contact information
Practice address
1044 E BRANDON BLVD, BRANDON, FL 33511-5509
(321) 732-5617
Mailing address
525 TECHNOLOGY PARK STE 109, LAKE MARY, FL 32746-7107
(321) 732-5617
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9267886
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
07250075
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008157200
—
FL
01
—
P01120210
R&R MEDICARE
FL
Enumeration date
09/19/2012
Last updated
08/19/2025
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