Individual
NICKEYA SUE LAYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGACNP-BC
Contact information
Practice address
18160 SAN PEDRO AVE STE 100, SAN ANTONIO, TX 78232-1432
(210) 864-5371
Mailing address
718 DULCINEA DR, SAN ANTONIO, TX 78260-6500
(210) 373-8395
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1008457
TX
363LA2100X
Acute Care Nurse Practitioner
1008457
TX
363LG0600X
Gerontology Nurse Practitioner
1008457
TX
Other
Enumeration date
08/26/2020
Last updated
03/19/2026
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