Provider Demographics
NPI:1215693478
Name:SALMON, TRINA (DNP-FNP)
Entity type:Individual
Prefix:
First Name:TRINA
Middle Name:
Last Name:SALMON
Suffix:
Gender:F
Credentials:DNP-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 NW FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957-3676
Mailing Address - Country:US
Mailing Address - Phone:772-208-3057
Mailing Address - Fax:
Practice Address - Street 1:3601 NW FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:JENSEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:34957-3676
Practice Address - Country:US
Practice Address - Phone:772-208-3057
Practice Address - Fax:772-209-4200
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-11
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11015614208D00000X, 363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily