FLORIDA STATE UNIVERSITY NPI 1902003536

NPI Information

  • NPI: 1902003536
  • Provider Name: FLORIDA STATE UNIVERSITY
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • :
  • CLIA Number: 10D2309809
  • Address: 1630 RIGGINS RD
    TALLAHASSEE, FL
    ZIP 32308
  • Phone: (850) 878-4434

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NPI Details

FLORIDA STATE UNIVERSITY is a primary care nurse practitioner in Tallahassee, FL. FLORIDA STATE UNIVERSITY NPI is 1902003536. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1630 RIGGINS RD
TALLAHASSEE, FL
ZIP 32308-316
Phone: (850) 878-4434
Fax: (850) 878-4423

The provider's authorized official is Jean Wang .
The authorized official title is Dean College Of Nursing and has the following contact phone number (850) 644-5707.

The CLIA number assigned to this NPI record is 10D2309809 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2007 and was last updated on 2/24/2025.

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
1363LP2300XNurse PractitionerPrimary CareYes

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: 11/21/2025

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