Provider Demographics
NPI:1265811616
Name:DOCKEN, SHEQUITA MARIE (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SHEQUITA
Middle Name:MARIE
Last Name:DOCKEN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4564 GINNIE TRL
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:FL
Mailing Address - Zip Code:32583-9462
Mailing Address - Country:US
Mailing Address - Phone:850-752-9989
Mailing Address - Fax:850-947-8972
Practice Address - Street 1:4564 GINNIE TRL
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:FL
Practice Address - Zip Code:32583-9462
Practice Address - Country:US
Practice Address - Phone:850-752-9989
Practice Address - Fax:850-947-8972
Is Sole Proprietor?:No
Enumeration Date:2015-05-19
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA772951163W00000X
FLRN9587533163W00000X
AZ322861363L00000X
IAA183768363LF0000X
TN38570363LF0000X
CA95015726363LF0000X
TX1194498363LF0000X
VA0024192934363LF0000X
CO0104003363LF0000X
FLAPRN11017865363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner