Individual
MRS. NICOLE RICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
404 CREEK CROSSING BLVD, HAINESPORT, NJ 08036-2768
(609) 845-3988
Mailing address
4101 ROUTE 42, BLACKWOOD, NJ 08012-1782
(856) 516-4566
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01178800
NJ
Other
Enumeration date
08/17/2021
Last updated
03/02/2022
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