Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE PAULINE DETRICK
Active Sole ProprietorNICOLE PAULINE DETRICK is a Physician Assistant healthcare provider located in JACKSONVILLE, Florida. NPI 1760172761 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1760172761
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 11, 2023 (3.2517716984563 yrs)
- Last Updated
- Dec 18, 2024
- Licenses
-
MA064732 (PA)PA9119031 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6269 BEACH BLVDJACKSONVILLE, FL, 322162768Browse FL providers · Browse ZIP 32216
- Phone
- 9047277955
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| MR. JASON KOTULA | P.A. | 1548263882 |
| DANIEL A BECK | PA-C | 1780688465 |
| JOHN MICHAEL TIERNEY | PA | 1124023445 |
| KAREN ELAINE MAYES | PA | 1437154887 |
| EDWIN HAUSER | PA | 1760487185 |
| PETER J RIGGS | PA | 1255336574 |
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.