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Individual
NICOLE MCKNIGHT
Active
Individual
NICOLE MCKNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201709785RN
OR
363L00000X
Nurse Practitioner
Primary
201710254NP-PP
OR
363LF0000X
Family Nurse Practitioner
5004889
NC
Other
Enumeration date
10/05/2010
Last updated
08/16/2022
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