Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VANESSA GAMMILL LICKSON, APRN
DeactivatedVANESSA GAMMILL LICKSON, APRN is a Family Nurse Practitioner healthcare provider located in BLOUNTSTOWN, Florida. NPI 1609343698 is deactivated in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · BLOUNTSTOWN, FL
This NPI has been deactivated.
The record was deactivated on November 14, 2018.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1609343698
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 27, 2018 (0.049315068493151 yrs)
- Last Updated
- Jan 3, 2024
- Deactivated
- Nov 14, 2018
- Licenses
-
9301316 (FL)11000074 (FL)APRN11000074 (FL)
Practice Information
- Address
-
16875 NE CAYSON STBLOUNTSTOWN, FL, 324242209Browse FL providers · Browse ZIP 32424
- Phone
- 8506742244
- Fax
- 8506742249
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in BLOUNTSTOWN, FL
| Name | Credential | NPI |
|---|---|---|
| MR. STANLEY FRANKLIN WHITTAKER | ANP | 1760485189 |
| RITA SMITH | ARNP | 1275546582 |
| LEAH MICHELLE VARIEUR | ARNP | 1508291766 |
| LAURA FORD | ARNP | 1407286784 |
| BROOKE REVELL SANSOM | APRN | 1932741840 |
| TINA DENICE DORSEY | APRN-FNP-C | 1487355046 |
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.