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NICOLE DAWN BRUNSON
NPI 1740061555
Student in an Organized Health Care Education/Training Program in Tampa, FL

Active since October 09, 2023
4001 E FLETCHER AVE, TAMPA, FL 33613(239) 450-9452 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Dawn Brunson NPPES

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

NICOLE DAWN BRUNSON (NPI 1740061555) is an individual student in an organized health care education/training program in Tampa, Florida and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1740061555
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE DAWN BRUNSON
Location Address4001 E FLETCHER AVETampa, FL 33613-4808
Mailing Address2904 Network Pl Apt 203cLutz, FL 33559-3174 · (239) 450-9452
Phone(239) 450-9452
Sole ProprietorYes
Enumeration DateOctober 9, 2023
NPPES CertifiedOctober 8, 2023
✔ NPI 1740061555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
4001 E FLETCHER AVE, Tampa, FL 33613
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YOLANDA CARIDAD LEON PSY.D.
Clinical Neuropsychologist
4001 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 974-2201
MISS ELISABETH ANN BURNETT APRN
Nurse Practitioner (Family)
4001 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 396-0623
DR. JASPREET KAUR PESTANA MD
Internal Medicine (Geriatric Medicine)
4001 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 974-2201
LORI D GRISMORE OT
Occupational Therapist
4001 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 396-0724
MATTHEW DAVID WILHELM DO
Pain Medicine (Interventional Pain Medicine)
4001 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 821-8038
LAUREN B MARCONI MSN, APRN, AGNP-C
Nurse Practitioner (Psychiatric/Mental Health)
4001 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 821-8038
AMANDA G SMITH MD
Psychiatry & Neurology (Geriatric Psychiatry)
4001 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 866-1600
MYRNA ISABEL DE JESUS FLYNN ARNP
Nurse Practitioner (Adult Health)
4001 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 866-1600

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 Brunson's NPI number?

The NPI number for Nicole Brunson is 1740061555. It was assigned to this individual provider in the NPPES registry on October 9, 2023.

Where is Nicole Brunson located?

Nicole Brunson practices at 4001 E Fletcher Ave, Tampa, FL 33613. The listed phone number is (239) 450-9452.

What is Nicole Brunson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicole Brunson was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.