| Doctor Name: | JUNE E. TICKLE |
| NPI Number: | 1659472652 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, ARNP |
| License Number: | NPF 11478 |
| Business Practice Address: | 1389 S Us 301 Sumterville, FL - 335855143 |
| Business Phone Number: | 3527935900 |
| Business Fax Number: | 3527938050 |
| Mailing Address: | 1425 S Us 301, SUMTERVILLE |
| State: | FL |
| Postal Code: | 335855141 |
| Phone Number: | 3527935900 |
| Fax Number: | 3527938050 |
| NPI Enumeration Date: | 09/25/2006 |
| NPI Last Update Date: | 02/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NPF 11478 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |