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

Nicole Blankman, ARNP

Individual provider Family Nurse Practitioner · NPI 1407558042

Nicole Blankman, ARNP is a Nurse Practitioner in Palm Bay, Florida. Qualified in 2021, 5 years ago. Practices with Jm Holdings of Brevard Inc, a 7-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2023
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

490 Centre Lake Dr NE Ste 200
Palm Bay, FL 32907-1189
Phone: (321) 821-4950
Fax: (321) 821-4955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11019153 (FL)

Record details

NPI number1407558042
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorYes
NPI enumeratedMarch 20, 2023
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025
Mailing address1414 Van Camp Ave Se, Palm Bay, FL 32909-5656

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Jm Holdings Of Brevard Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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