Individual
SHURINE L NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITONER
Contact information
Practice address
3109 STRAWBERRY LN, LAKELAND, FL 33801-9233
(305) 527-6666
Mailing address
PO BOX 1137, KATHLEEN, FL 33849-1137
(305) 527-6666
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AG07190314
FL
Other
Enumeration date
08/27/2019
Last updated
01/11/2025
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