Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NICOLE LANNAN APRN
NPI 1508778481
Nurse Practitioner - Family in Ponte Vedra, FL

Active since September 17, 2026
4210 VALLEY RIDGE BLVD STE 110, PONTE VEDRA, FL 32081(904) 747-6403 Get Directions Write a Review

NPPES record added: September 25, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 25, 2026, Sep 17, 2026 (2 updates tracked since 2026).

About Nicole Lannan Aprn NPPES

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

NICOLE LANNAN APRN (NPI 1508778481) is an individual family provider in Ponte Vedra, Florida, licensed in Florida (APRN11034259) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1508778481
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE LANNANCredential: APRN
Location Address4210 VALLEY RIDGE BLVD STE 110Ponte Vedra, FL 32081-5171
Mailing Address184 Turtle Cove CtPonte Vedra Beach, FL 32082-4517 · (904) 747-6403
Sole ProprietorNo
Enumeration DateSeptember 17, 2026
Last NPPES UpdateSeptember 25, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1508778481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11034259
4210 VALLEY RIDGE BLVD STE 110, Ponte Vedra, FL 32081

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 Nicole Lannan's NPI number?

The NPI number for Nicole Lannan is 1508778481. It was assigned to this individual provider in the NPPES registry on September 17, 2026.

Where is Nicole Lannan located?

Nicole Lannan practices at 4210 Valley Ridge Blvd Ste 110, Ponte Vedra, FL 32081. The listed phone number is (904) 747-6403.

What is Nicole Lannan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Nicole Lannan was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.