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Individual

TISHA LYNN NICKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
8919 PARALLEL PKWY STE 270, KANSAS CITY, KS 66112-1655
(913) 334-6800
(913) 334-0875
Mailing address
8919 PARALLEL PKWY STE 270, KANSAS CITY, KS 66112-1655
(913) 334-6800
(913) 334-0875

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2024037002
MO
363L00000X
Nurse Practitioner
Primary
75755
KS
363LF0000X
Family Nurse Practitioner
53-75755-022
KS

Other

Enumeration date
12/10/2012
Last updated
02/12/2026
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