Individual
KATIE NILSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2707 TRANSWORLD DR, STOCKTON, CA 95206-3948
(209) 479-5924
Mailing address
2707 TRANSWORLD DR, STOCKTON, CA 95206-3948
(209) 468-4960
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
552170
CA
Other
Enumeration date
06/06/2019
Last updated
04/28/2025
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