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Individual

JENNIFER NICKENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
4200 REGENT ST STE 200, COLUMBUS, OH 43219-6229
(248) 780-0050
Mailing address
4200 REGENT ST STE 200, COLUMBUS, OH 43219-6229
(877) 870-1775
(614) 968-8840

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
131790
LA
363LF0000X
Family Nurse Practitioner
Primary
AP08144
LA

Other

Enumeration date
08/12/2014
Last updated
04/10/2024
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