Organization
JANE M. NICHILO, ARNP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE M NICHILO ARNP (PMHNP-BC)
(830) 446-9525
Entity
Organization
Contact information
Practice address
5400 SEMINOLE BLVD, SEMINOLE, FL 33772-7317
(727) 501-3208
Mailing address
11795 CAMPHOR WAY, SEMINOLE, FL 33772-5700
(830) 446-9525
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
9456593
FL
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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