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MR. MICHAEL SCOTT NICKERSON MS, ARNP-C, COHN-S
NPI 1649691122
Nurse Practitioner - Adult Health in St. Petersburg, FL

Active since December 30, 2013
700 5TH AVE S, ST. PETERSBURG, FL 33785(727) 767-8404 Get Directions Write a Review

NPPES record last updated: January 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael Scott Nickerson Ms, Arnp-c, Cohn-s NPPES

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

MR. MICHAEL SCOTT NICKERSON MS, ARNP-C, COHN-S (NPI 1649691122) is an individual adult health provider in St. Petersburg, Florida, licensed in Florida (3297762) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1649691122
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. MICHAEL SCOTT NICKERSONCredential: MS, ARNP-C, COHN-S
Location Address700 5TH AVE SSt. Petersburg, FL 33785
Mailing Address2625 Ne 14th Ave Apt 105Oakland Park, FL 33334-4395 · (239) 777-9788
Phone(727) 767-8404
Sole ProprietorYes
Enumeration DateDecember 30, 2013
Last NPPES UpdateJanuary 7, 2015
✔ NPI 1649691122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · 3297762
700 5TH AVE S, St. Petersburg, FL 33785
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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 Michael Nickerson's NPI number?

The NPI number for Michael Nickerson is 1649691122. It was assigned to this individual provider in the NPPES registry on December 30, 2013.

Where is Michael Nickerson located?

Michael Nickerson practices at 700 5th Ave S, St. Petersburg, FL 33785. The listed phone number is (727) 767-8404.

What is Michael Nickerson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Michael Nickerson was last updated on January 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.