Individual
NIKKI MARIA MCCLINTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 W TIPTON ST, SEYMOUR, IN 47274-8659
(812) 523-6405
Mailing address
1675 W TIPTON ST, SEYMOUR, IN 47274-8659
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28264399A
IN
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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