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Individual
MRS. NIKOL DEEM TIMMONS
Active
Individual
MRS. NIKOL DEEM TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101627
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194801001
—
NC
01
—
19TG1
BCBSNC
NC
01
—
7469057
CIGNA
NC
05
—
8101457
—
NC
01
—
N1267048
MEDICARE
NC
01
—
Q01233714
RAILROADMEDICARE
NC
Enumeration date
10/31/2006
Last updated
01/26/2026
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