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

Nicole De Graw

Individual provider Family Nurse Practitioner · NPI 1265244719

Nicole De Graw is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2014, 12 years ago. Practices with Cardiac Vision LLC, a 68-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2025

Practice location Address checks out

6817 Southpoint Pkwy Ste 203
Jacksonville, FL 32216-6286
Phone: (813) 606-5315
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11034640 (FL)

Record details

NPI number1265244719
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 22, 2025
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Cardiac Vision Llc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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