Nicole Jackson Holcombe, CRNA | |
106 Swift Creek Ct, Niceville, FL 32578-3710 | |
(443) 867-0516 | |
Not Available |
Full Name | Nicole Jackson Holcombe |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 106 Swift Creek Ct, Niceville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1598513996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 11032749 (Florida) | Primary |
Entity Name | Anesthesia Physician Solutions Of North Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164932901 PECOS PAC ID: 5597066001 Enrollment ID: O20151228002033 |
Mailing Address | Practice Location Address |
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Nicole Jackson Holcombe, CRNA 106 Swift Creek Ct, Niceville, FL 32578-3710 Ph: (443) 867-0516 | Nicole Jackson Holcombe, CRNA 106 Swift Creek Ct, Niceville, FL 32578-3710 Ph: (443) 867-0516 |
Mr. Douglas Cameron Mcouat, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 45 Hampton Circle, Niceville, FL 32578 Phone: 850-842-2642 | |
William Cadwell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1114 John Sims Pkwy, Pmb381, Niceville, FL 32578 Phone: 850-897-9792 Fax: 850-699-2081 | |
B Victoria Monzon Lemond, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 285 Wava Ave, Niceville, FL 32578 Phone: 850-585-9901 |