Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS IAN LONGSTREET, M.D.
Active Sole ProprietorNICHOLAS IAN LONGSTREET, M.D. is a Family Medicine healthcare provider located in TYNDALL AFB, Florida. NPI 1245593623 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · TYNDALL AFB, FL
Registration Details
- NPI Number
- 1245593623
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2012 (14.147569980252 yrs)
- Last Updated
- May 2, 2022
- License
-
27702 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
340 MAGNOLIA CIRTYNDALL AFB, FL, 324035604Browse FL providers · Browse ZIP 32403
- Phone
- 8502837232
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in TYNDALL AFB, FL
| Name | Credential | NPI |
|---|---|---|
| BRUCE ALAN BURKETT | D.O. | 1699763037 |
| DR. ROBERT SEBASTIAN KENT | M.D. | 1700861127 |
| DR. JENNIFER LYNN PIPPIN | M.D. | 1346408010 |
| AARON JAMES GOODRICH | M.D. | 1376772822 |
| GUNNAR NELSON | D.O. | 1386051761 |
| JONATHON EDWARD JOSEPHSON | MD | 1548894793 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.