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Individual

MS. NICOLE DENISE NICKENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, A-GPNP-BC,

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN346914
OH
207RA0401X
Addiction Medicine (Internal Medicine) Physician
CNP020745
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.020745
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CNP020745
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0223866
OH
05
0323866
OH
01
1396466272
NPI AFFILIATION
OH
05
1609082486
OH
01
1750217519
NPI AFFILIATION
OH
05
2462777
OH
Enumeration date
05/16/2007
Last updated
07/04/2026
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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