Individual
HEATHER NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
504 3RD AVE, JASPER, IN 47546-3503
(812) 964-5750
(812) 964-5750
Mailing address
504 3RD AVE, JASPER, IN 47546-3503
(812) 964-5750
(812) 964-5750
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28166000C
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71004996A
IN
Other
Enumeration date
07/07/2014
Last updated
08/26/2025
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