MRS. NICOLE MARIE PEDERSEN FNP
NPI 1902262405
Nurse Practitioner - Family in Jacksonville, FL

Active since January 13, 2016
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207(904) 202-2000 Get Directions Write a Review

NPPES record last updated: January 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Nicole Marie Pedersen Fnp NPPES

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

MRS. NICOLE MARIE PEDERSEN FNP (NPI 1902262405) is an individual family provider in Jacksonville, Florida, licensed in Florida (ARNP 9423763) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1902262405
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. NICOLE MARIE PEDERSENCredential: FNP
Location Address800 PRUDENTIAL DRJacksonville, FL 32207-8202
Mailing Address481 Johns Creek PkwySaint Augustine, FL 32092-5070 · (414) 380-9754
Sole ProprietorNo
Enumeration DateJanuary 13, 2016
NPI 1902262405 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 · ARNP 9423763
800 PRUDENTIAL DR, Jacksonville, FL 32207

Other Providers at the Same Location NPPES 20

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

Speech-Language Pathologist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Speech-Language Pathologist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Physical Therapist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Nurse Practitioner (Neonatal)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Anesthesiologist Assistant
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Anesthesiologist Assistant
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Pathology (Anatomic Pathology & Clinical Pathology)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Registered Nurse (Medical-Surgical)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207

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 Pedersen's NPI number?

The NPI number for Nicole Pedersen is 1902262405. It was assigned to this individual provider in the NPPES registry on January 13, 2016.

Where is Nicole Pedersen located?

Nicole Pedersen practices at 800 Prudential Dr, Jacksonville, FL 32207. The listed phone number is (904) 202-2000.

What is Nicole Pedersen'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 Pedersen was last updated on January 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.