Individual
MS. NICOLE LEE HAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
614 FREDS CT, KENDALLVILLE, IN 46755-2884
(260) 582-1928
Mailing address
614 FREDS CT, KENDALLVILLE, IN 46755-2884
(260) 582-1928
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
28223518A
IN
164W00000X
Licensed Practical Nurse
Primary
27051635A
IN
Other
Enumeration date
03/21/2011
Last updated
03/09/2026
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