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Individual

ASHLEE NICOLE NICKERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1210 N 1000 W, LINTON, IN 47441-5013
(812) 847-4481
(844) 658-7526
Mailing address
1185 N 1000 W, LINTON, IN 47441-5282
(812) 847-2281

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71016170A
IN

Other

Enumeration date
12/30/2024
Last updated
01/08/2025
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