Individual
MRS. NICOLE TERESA MCCLOSKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5526 SUPERIOR DR, LAKELAND, FL 33805-8001
(813) 263-9100
Mailing address
5526 SUPERIOR DR, LAKELAND, FL 33805-8001
(321) 235-0692
(321) 235-0694
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN9477203
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11018077
FL
Other
Enumeration date
04/05/2021
Last updated
03/13/2025
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