Individual
REGINA SHANELLE NICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2701 DAVIS STREET, MERIDIAN, MS 39301-5708
(601) 693-0118
(601) 553-8175
Mailing address
2701 DAVIS STREET, MERIDIAN, MS 39301-5708
(601) 693-0118
(601) 553-8175
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-099036
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R865667
BOARD OF NURSING
MS
Enumeration date
07/17/2009
Last updated
11/07/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us