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

Dr. Alicia Self, DNP-FNP-C

Individual provider Nurse Practitioner · NPI 1154885804

Dr. Alicia Self, DNP-FNP-C is a Nurse Practitioner in Lakeland, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona, Colorado and Florida.

Licensed in
AZ, CO, FL
In the registry since
2019
Specialties on file
4

Practice location Address checks out

211 E Main St # 435
Lakeland, FL 33801-4628
Phone: (863) 595-6909
Show map & directions

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

Additional practice locations (1)

  • 1501 Biscayne Blvd, Miami, FL 33132-1449 — (877) 870-0323

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11002709 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence C-APN.0102110-C-NP (CO)
Nurse Practitioner Taxonomy 363L00000X · Licence 308247 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence RN9655562 (FL)

Record details

NPI number1154885804
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP-FNP-C
Sole proprietorYes
NPI enumeratedJanuary 28, 2019
Last updated in NPPESMay 25, 2026
Certification dateMay 25, 2026

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