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

Nickline Clervil Emile

Individual provider Family Medicine Physician · NPI 1205481488

Nickline Clervil Emile is a Nurse Practitioner in West Melbourne, Florida. Qualified in 2019, 7 years ago. Practices with Interventional and Vascular Center PLLC, a 5-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
Specialties on file
2

Practice location Address checks out

415 S Wickham Rd
West Melbourne, FL 32904-1137
Phone: (321) 400-1220
Show map & directions

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

Additional practice locations (1)

  • 235 Paquita Cir Sw, Palm Bay, FL 32908-3468 — (954) 632-9694

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11003424 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence APRN11003424 (FL)

Record details

NPI number1205481488
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 5, 2019
Last updated in NPPESMay 24, 2024
Certification dateMay 24, 2024
Mailing address235 Paquita Cir Sw, Palm Bay, FL 32908-3468

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Interventional And Vascular Center Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in West Melbourne