Individual
MR. JON B. NICKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2 W 42ND ST, SUITE 1500, SCOTTSBLUFF, NE 69361-4669
(308) 635-7362
Mailing address
1214 HILLTOP CIR, NORTH PLATTE, NE 69101-6734
(308) 532-8789
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100127
NE
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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