VICKIE LYNN SORRELL FNP-BC NPI 1306114483

NPI Information

NPI: 1306114483
Provider Name: VICKIE LYNN SORRELL, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4770 S RIDGEWOOD AVE
PORT ORANGE, FL
ZIP 32127
Phone: (386) 761-0050
Get Directions

Vickie Lynn Sorrell, FNP-BC is a family nurse practitioner in Port Orange, FL. Vickie Lynn Sorrell, FNP-BC NPI is 1306114483. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4770 S RIDGEWOOD AVE
PORT ORANGE, FL
ZIP 32127-544
Phone: (386) 761-0050

The NPI 1306114483 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/5/2011 and was last updated on 1/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		58087	WEST VIRGINIA	No
2	163W00000X	Registered Nurse		9420904	FLORIDA	No
3	363LF0000X	Nurse Practitioner	Family	2011007183	WEST VIRGINIA	No
4	363LF0000X	Nurse Practitioner	Family	9420904	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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