Provider Demographics
NPI:1114185980
Name:KARCINSKI, NICOLE KLESMIT (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:KLESMIT
Last Name:KARCINSKI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13723 NW 30TH RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-9334
Mailing Address - Country:US
Mailing Address - Phone:919-357-1574
Mailing Address - Fax:
Practice Address - Street 1:205 FLETCHER DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32611-2038
Practice Address - Country:US
Practice Address - Phone:352-692-6135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9204841363LP0808X
FLARNP9204841363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003137100Medicaid
FLEJ006ZMedicare PIN