Individual
CHRISTINA L NICKLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1510 BYRUM RD, BLYTHEVILLE, AR 72315-8033
(870) 532-2600
Mailing address
1510 BYRUM RD, BLYTHEVILLE, AR 72315-8033
(870) 532-2600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2012004417
MO
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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