Provider Demographics
NPI:1154014389
Name:GHENT, NIKKIDA SHIREE (FNP)
Entity type:Individual
Prefix:
First Name:NIKKIDA
Middle Name:SHIREE
Last Name:GHENT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:NIKKIDA
Other - Middle Name:SHIREE
Other - Last Name:SIMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:6817 SOUTHPOINT PKWY STE 203
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-6286
Mailing Address - Country:US
Mailing Address - Phone:904-256-9202
Mailing Address - Fax:
Practice Address - Street 1:2400 MAITLAND CENTER PKWY STE 310
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-7442
Practice Address - Country:US
Practice Address - Phone:352-329-1800
Practice Address - Fax:352-329-1810
Is Sole Proprietor?:No
Enumeration Date:2023-06-01
Last Update Date:2025-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11026477363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily