DELEAH RENE PICKLER APRN NPI 1174122071

NPI Information

NPI: 1174122071
Provider Name: DELEAH RENE PICKLER, APRN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL
ZIP 32216
Phone: (907) 702-6111
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Deleah Rene Pickler, APRN is an adult health nurse practitioner in Jacksonville, FL with 2 years of experience. Deleah Rene Pickler, APRN NPI is 1174122071. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL
ZIP 32216-207
Phone: (907) 702-6111

The NPI 1174122071 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/21/2020 and was last updated on 2/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WR0006X	Registered Nurse	Registered Nurse First Assistant	RN9238970	FLORIDA	No
2	363LA2100X	Nurse Practitioner	Acute Care	APRN11024312	FLORIDA	No
3	363LA2200X	Nurse Practitioner	Adult Health	APRN11024312	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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