1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Licensed Practical Nurse
  6. NPI Profile

MS. IRENE LOISE NICELY LPN
NPI 1396807467
Licensed Practical Nurse in Jacksonville, FL

Active since December 15, 2006
1111 CRESTDALE ST, JACKSONVILLE, FL 32211(904) 710-1011 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Irene Loise Nicely Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. IRENE LOISE NICELY LPN (NPI 1396807467) is an individual licensed practical nurse in Jacksonville, Florida, licensed in Florida (PN5157580) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1396807467
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. IRENE LOISE NICELYCredential: LPN
Location Address1111 CRESTDALE STJacksonville, FL 32211-5709
Mailing Address1111 Crestdale StJacksonville, FL 32211-5709 · (904) 710-1011
Phone(904) 710-1011
Sole ProprietorYes
Enumeration DateDecember 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396807467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in FL · PN5157580
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1111 CRESTDALE ST, Jacksonville, FL 32211
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irene Nicely's NPI number?

The NPI number for Irene Nicely is 1396807467. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Irene Nicely located?

Irene Nicely practices at 1111 Crestdale St, Jacksonville, FL 32211. The listed phone number is (904) 710-1011.

What is Irene Nicely's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Irene Nicely was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.