Provider Demographics
NPI:1871184192
Name:DULING, NECOLE JAVAN (RN)
Entity Type:Individual
Prefix:MS
First Name:NECOLE
Middle Name:JAVAN
Last Name:DULING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4415 FLORIDA NATIONAL DR STE 201
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-1569
Mailing Address - Country:US
Mailing Address - Phone:863-808-3533
Mailing Address - Fax:
Practice Address - Street 1:4415 FLORIDA NATIONAL DR STE 201
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-1569
Practice Address - Country:US
Practice Address - Phone:863-808-3533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9313604163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty