Individual
JILLIAN J NICKELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1010 THREE SPRINGS BLVD, DURANGO, CO 81301-8296
(970) 247-4311
Mailing address
1010 THREE SPRINGS BLVD, DURANGO, CO 81301-8296
(970) 247-4311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0037082
CO
208M00000X
Hospitalist Physician
Primary
37082
CO
208M00000X
Hospitalist Physician
Primary
DR.0037082
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01370824
—
CO
Enumeration date
02/14/2006
Last updated
02/04/2026
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