License Verification

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NICOLE BUSCHE EARLEY

License Number: PA9121949

Data As Of 10/26/2026

Profession
Physician Assistant
License
PA9121949
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2028
License Original Issue Date
06/12/2026
Address of Record
103 Solana Rd Suite B
PONTE VEDRA BEACH, FL 32082
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
614 East Twincourt Trail
SAINT AUGUSTINE, FL 32095
Address
791 Amelia Island Parkway
FERNANDINA BEACH, FL 32034
Address
13111 Atlantic Blvd. Suite 4
JACKSONVILLE, FL 32225
Name Relationship Profession License Effective Date
METZ, RUSSELL DAVID Supervising Prescribing Practitioner Medical Doctor 67703 07/10/2026

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 10/26/2026



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.