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

Nicole Rene Welle

Individual provider Occupational Therapy Assistant · NPI 1861251548

Nicole Rene Welle is an Occupational Therapy Assistant in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

12276 San Jose Blvd
Jacksonville, FL 32223-8628
Phone: (904) 886-3228
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA19790 (FL)

Record details

NPI number1861251548
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 15, 2024
Last updated in NPPESMarch 15, 2024
Certification dateMarch 15, 2024

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