Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Michelle Diane Nicely, PA-C

Individual provider Medical Physician Assistant · NPI 1972662922

Mrs. Michelle Diane Nicely, PA-C is a Medical Physician Assistant in Tampa, Florida. Works from 3 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3301 W Gandy Blvd
Tampa, FL 33611-2931
Phone: (813) 925-1903
Fax: (813) 749-8370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 535 Ne 6th Ave, Estacada, OR 97023-9312 — (971) 373-4165
  • 24461 E Welches Rd, Welches, OR 97067-7067 — (971) 373-4165

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9100658 (FL)

Record details

NPI number1972662922
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 6, 2006
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025

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