Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sunnyside Wellness

Organization Family Nurse Practitioner · NPI 1063286813

Sunnyside Wellness is a Family Nurse Practitioner in St Petersburg, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

7901 4th St N Ste 300
St Petersburg, FL 33702-4399
Phone: (813) 508-8187
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1063286813
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Courtney Tibbetts — Owner · (813) 298-9305
NPI enumeratedNovember 13, 2023
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024
Mailing address7901 4th St N Ste 300, St Petersburg, FL 33702-4399

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