Individual
COURTNEY GIBSON NICKELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1207 HIGHWAY 182 W, STARKVILLE, MS 39759-9820
(662) 320-7800
(662) 320-7797
Mailing address
1164 MELROSE ST, STARKVILLE, MS 39759-9055
(601) 503-6912
(662) 320-7797
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R865275
MS
Other
Enumeration date
06/21/2006
Last updated
05/20/2010
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