Individual
MS. JANNA KASTING NICKOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3015 10TH ST, COLUMBUS, IN 47201-7090
(812) 372-8426
(812) 378-7777
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
28135072A
IN
363LF0000X
Family Nurse Practitioner
Primary
71007158A
IN
Other
Enumeration date
05/16/2017
Last updated
07/08/2025
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