# MS. NICOLE MARIE HELSOM

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

## Provider details

- **NPI number:** 1790883502
- **Gender:** F
- **Credential:** P.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 10000849A | IN | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 11/06/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000386480 | BCBS | — |
| 01 | — | P00311647 | MEDICARE RAILROAD | — |