Individual
MRS. MONA JEAN NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
721 BETTER NOW PLZ, ADA, OK 74820-2279
(580) 272-0025
(580) 272-5669
Mailing address
902 ARLINGTON CTR, ADA, OK 74820-2883
(580) 272-0025
(580) 272-5669
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
96054
OK
Other
Enumeration date
06/10/2014
Last updated
03/17/2018
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