NICOLE LONG


Address: 3725 Belfort Rd, Jacksonville, FL 32216-5813
Phone: 9042961055

NICOLE LONG (NPI# 1184100067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184100067
Entity Type Individual
Full Name NICOLE LONG
Other Name NICOLE BRICKLEY
Credential PMHNP
Practice Address 3725 Belfort Rd
Jacksonville
FL 32216-5813
Mailing Address 14067 Crestwick Dr W
Jacksonville
FL 32218-8494
Practice Telephone 9042961055
Mailing Telephone 3526310721
Enumeration Date 2018-07-13
Last Update Date 2018-07-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
9356980 FL Physician Assistants & Advanced Practice Nursing Providers

Other Providers NICOLE LONG

NPI Name Taxonomy Address Enumeration
1174634950 Nicole Long Nurse Practitioner 902 Carl Rd, Lafayette, CA 94549-4807 2006-08-31
1679090302 Nicole Marie Long Nurse Practitioner 50 Irving St Nw, Washington, DC 20422-0001 2017-08-23
1336581511 Nicole Long Social Worker 150 West St, West Bridgewater, MA 02379-1448 2013-07-29
1891058939 Nicole Diane Long Nurse Practitioner 2990 Cortez Ave, Idaho Falls, ID 83404-7554 2012-06-22
1851521660 Nicole C. Long Optometrist 320 Central City Plz, New Kensington, PA 15068-6441 2009-07-15
1962609289 Nicole Ann Long Obstetrics & Gynecology 277 White St Ne, Abingdon, VA 24210-2913 2007-06-29
1093834145 Nicole Ann Long Nurse Practitioner 9397 Crown Crest Blvd, Ste 320, Parker, CO 80138-8575 2007-03-28
1386733087 Nicole Marie Long Social Worker 2285 Benden Dr, Wooster, OH 44691-2568 2006-10-12
1750482683 Nicole L Long Chiropractor 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 2006-09-25

Office Location

Street Address 3725 BELFORT RD
City JACKSONVILLE
State FL
Zip Code 32216-5813

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346205861 Daniel Memorial, Inc. Case Management 3725 Belfort Rd, Jacksonville, FL 32216-5813 2006-04-18
1407404007 Jasmyn C Graham Marriage & Family Therapist 3725 Belfort Rd, Jacksonville, FL 32216-5813 2019-08-28
1750859591 Tiffany M Haynes Counselor 3725 Belfort Rd, Jacksonville, FL 32216-5813 2018-11-09
1275011645 Michelle Y Bailey Counselor 3725 Belfort Rd, Jacksonville, FL 32216-5813 2018-07-30
1184134645 Jennifer Gault Rousset Social Worker 3725 Belfort Rd, Jacksonville, FL 32216-5813 2017-10-10
1972032522 Christian Senko Social Worker 3725 Belfort Rd, Jacksonville, FL 32216-5813 2017-06-07
1447797493 Takiyah Joseph Counselor 3725 Belfort Rd, Jacksonville, FL 32216-5813 2017-01-30
1316489230 Tamara Ramos Social Worker 3725 Belfort Rd, Jacksonville, FL 32216-5813 2016-11-09
1528410149 Elle Marriott Counselor 3725 Belfort Rd, Jacksonville, FL 32216-5813 2016-07-07
1619343217 Gregory Pittman Counselor 3725 Belfort Rd, Jacksonville, FL 32216-5813 2015-08-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524925 Renee Cherie Titus Behavior Technician Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 2020-09-24
1811546575 First Coast Orthopedic Center, LLC Clinic/Center 4035 Southpoint Boulevard, Jacksonville, FL 32216 2019-09-05
1922578558 Fatima Hussain Crofton Optometrist 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 2018-11-27
1154802833 John-paul Pham Internal Medicine 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 2018-08-22
1790279479 Joseph Richard Kennedy Physician Assistant 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 2018-06-18
1801304357 Kelli M. Tyson Nurse Practitioner 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 2018-01-18
1376054809 Angela M Whittinghill Counselor 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 2017-10-24
1629508072 Zoryana Yufan Dentist 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 2017-06-19
1700318896 Christina Kaczmarek Behavior Technician 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 2017-03-29
1932640422 Loudine Racius Nurse Practitioner 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 2017-03-16
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720691843 Eralene Manangan Nurse Practitioner 4205 Belfort Rd Ste 4030, Jacksonville, FL 32216-1475 2020-08-28
1306456025 Richard Mercer Nurse Practitioner 3545 Saint Johns Bluff Rd S Ste 137, Jacksonville, FL 32224-2682 2020-08-06
1467060434 Rebecca Bertone Nurse Practitioner 8540 Turkey Oaks Dr S, Jacksonville, FL 32277-2920 2020-07-16
1861018616 Octavia J Robertson Nurse Practitioner 3562 Boone Park Ave, Jacksonville, FL 32205-8433 2020-06-17
1902428568 Kimberly J Grant Nurse Practitioner 8680 Baymeadows Rd E Apt 1413, Jacksonville, FL 32256-4002 2020-05-17
1447710900 Shannska Atis Nurse Practitioner 580 W 8th St Fl II5, Jacksonville, FL 32209-6533 2019-03-21
1811462237 Dzenefa Ramic Nurse Practitioner 10175 Fortune Pkwy Unit 206, Jacksonville, FL 32256-6748 2018-10-11
1851871024 Shakhia Grant Nurse Practitioner 3636 University Blvd S Ste B, Jacksonville, FL 32216-4223 2018-08-17
1295230845 Lacey Cawthron Nurse Practitioner 8130 Baymeadows Cir W Ste 109, Jacksonville, FL 32256-1837 2018-03-27
1083116107 Kbn Healthcare, Pllc Nurse Practitioner 9471 Baymeadows Rd Ste 3, Jacksonville, FL 32256-7932 2018-03-05
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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