# ALEXA ANN NICKELSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1689470163
- **Gender:** F
- **Credential:** CNM, WHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | 09000490A | IN | — |
| 363LW0102X | Women's Health Nurse Practitioner | 104216827 | IN | — |
| 364SW0102X | Women's Health Clinical Nurse Specialist | 28276535A | IN | — |
| 367A00000X | Advanced Practice Midwife | 09000490A | IN | Yes |

## Other

- **Enumeration date:** 02/24/2025
- **Last updated:** 03/11/2026