# DR. JULIE PANDORA NICKLES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285665570
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS004879L | PA | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 03/13/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02713300 | CAPITAL BLUE CROSS | PA |
| 01 | — | 0459530 | AETNA | PA |
| 01 | — | 22143 | GEISINGER HEALTH PLAN | PA |
| 01 | — | 2713300 | KHP CENTRAL | PA |
| 01 | — | 431452 | CAPITAL BLUE SHIELD | PA |