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

Mrs. Susan Jane Nolan, PA-C

Individual provider Medical Physician Assistant · NPI 1104121243

Mrs. Susan Jane Nolan, PA-C is a Medical Physician Assistant in Port Charlotte, Florida. Works from 3 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2011
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

22655 Bayshore Rd Ste 110
Port Charlotte, FL 33980-2005
Phone: (941) 235-4900
Fax: (941) 235-4901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 16410 Healthpark Commons Dr, Fort Myers, FL 33908 — (239) 343-6202
  • 9400 Gladiolus Drive, Fort Myers, FL 33908-7600 — (239) 689-5100

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9105671 (FL)

Record details

NPI number1104121243
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 21, 2011
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024

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