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

Holly Ann Nuckolls, PA

Individual provider Physician Assistant · NPI 1427121110

Holly Ann Nuckolls, PA is a Physician Assistant in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

12670 Creekside Ln Ste 202
Fort Myers, FL 33919-8759
Phone: (239) 482-2663
Fax: (239) 482-7585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9104011 (FL)

Record details

NPI number1427121110
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 17, 2006
Last updated in NPPESJanuary 2, 2008

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