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

Nicole Shemwell, CERTHAIRLOSSSPECI

Individual provider Prosthetics Case Management · NPI 1164135810

Nicole Shemwell, CERTHAIRLOSSSPECI is a Prosthetics Case Management in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
6

Practice location Address checks out

1021 Oak St Ste 129
Jacksonville, FL 32204-3905
Phone: (904) 670-0906
Show map & directions

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

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X
Prosthetics Case Management Taxonomy 1744P3200X
Mastectomy Fitter Taxonomy 224900000X
Prosthetist Taxonomy 224P00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Prosthetic/Orthotic Supplier Taxonomy 335E00000X

Record details

NPI number1164135810
Entity typeIndividual (Type 1)
GenderFemale
Credentials CERTHAIRLOSSSPECI
Sole proprietorYes
NPI enumeratedDecember 27, 2022
Last updated in NPPESApril 1, 2024
Certification dateMarch 24, 2024

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