Individual
NICOLE CHISUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
320 W WALNUT STREET, OGDEN, IA 50212-3060
(515) 275-2417
(515) 275-4678
Mailing address
1015 UNION STREET, BOONE, IA 50036-4821
(515) 432-3140
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1133002
TX
363LF0000X
Family Nurse Practitioner
Primary
A184261
IA
Other
Enumeration date
11/01/2023
Last updated
12/23/2025
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