Nicole E. Fifer PAC
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Nicole Elaine Fifer PAC
NPI Number
1861404899
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/11/2006
Specialties
(Taxonomies)Licenses
State
Florida
Louisiana
License Number
PA9108411
PA200082
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 45443
1400 BISHOP ESTATES RD
City
Salt Lake City
Jacksonville
State
UT
FL
Postal Code
84145-0443
32259-4244
Country
US
US
Telephone Number
(904) 202-1032
(904) 287-2794
Identifiers
Identifier
1013510
Identifier State
LA
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/31/2018