Dr NICKOLE A BACON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.
PROFESSIONAL HEALTHCARE OF PINELLAS LLC
1839 CENTRAL AVE
SAINT PETERSBURG
FL
337138900
Tel: 7273221054
| Npi | 1215432224 |
| Pac Id | 5092079533 |
| Professional Enrollment Id | I20180508002407 |
| Last Name | BACON |
| First Name | NICKOLE |
| Middle Name | A |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PROFESSIONAL HEALTHCARE OF PINELLAS LLC |
| Group Practice Pac Id | 1658274675 |
| Number Of Group Practice Members | 56 |
| Line 1 Street Address | 1839 CENTRAL AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 337138900 |
| Phone Number | 7273221054 |
| Hospital Affiliation Ccn 1 | 100075 |
| Hospital Affiliation Lbn 1 | ST JOSEPHS HOSPITAL |
| Hospital Affiliation Ccn 2 | 100067 |
| Hospital Affiliation Lbn 2 | ST ANTHONY'S HOSPITAL |
| Hospital Affiliation Ccn 3 | 100126 |
| Hospital Affiliation Lbn 3 | PALMS OF PASADENA HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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