Individual
NICOLE C FLIPPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
301 GORDON GUTMANN BLVD STE 101, JEFFERSONVILLE, IN 47130-3765
(812) 282-4844
(812) 282-6248
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 559-9337
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004751A
IN
363LP2300X
Primary Care Nurse Practitioner
3007716
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196290256
MEDICARE
IN
05
—
201208420
—
IN
05
—
7100226350
—
KY
Enumeration date
10/23/2012
Last updated
04/04/2024
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