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

Nicole Diane Long, FNP-C

Individual provider Family Nurse Practitioner · NPI 1891058939

Nicole Diane Long, FNP-C is a Nurse Practitioner in Idaho Falls, Idaho. Qualified in 2012, 14 years ago. Practices with Florida Woman Care LLC, a 609-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
14
Licensed in
ID
In the registry since
2012
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2990 Cortez Ave
Idaho Falls, ID 83404-7554
Phone: (208) 535-0440
Fax: (208) 535-0550
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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 NP-1171A (ID)

Record details

NPI number1891058939
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedJune 22, 2012
Last updated in NPPESJune 22, 2012

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Florida Woman Care Llc — 609 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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