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Individual

NICOLE TREVOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, PMHNP-BC

Contact information

Practice address
1750 TREE BLVD, SAINT AUGUSTINE, FL 32084-5715
(904) 342-0672
Mailing address
190 KILLARNEY AVE, SAINT JOHNS, FL 32259-9134
(412) 760-6842

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11037781
FL

Other

Enumeration date
03/14/2025
Last updated
03/14/2025
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