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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VANESSA GAMMILL LICKSON, APRN

Deactivated

VANESSA 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 Deactivated NPIs are no longer valid for billing or credentialing.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 ST
BLOUNTSTOWN, FL, 324242209
Browse 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.