Tanner, Nicole Lee

Tanner, Nicole Lee is an individual health care provider with primary practice located at 1324 Lakeland Hills Blvd , Lakeland FL 33805-4543. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Tanner, Nicole Lee can be contacted via phone (863) 687-1321.

Contact Information

Primary practice address
1324 Lakeland Hills Blvd Lakeland FL 33805-4543
Phone: (863) 687-1321
Fax: (863) 603-6534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP 9227129 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9227129 Florida

Profile Details

NPI number 1821372798
LBN Legal business name Tanner, Nicole Lee
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2011
Last updated Jul 8th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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