Individual
NIKKIA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
8950 VILLA LA JOLLA DR STE C217, LA JOLLA, CA 92037-1712
(855) 427-2778
(858) 638-8142
Mailing address
3835 N FREEWAY BLVD STE 100, SACRAMENTO, CA 95834-1954
(916) 576-7900
(858) 638-8142
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
95061022
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95026956
CA
Other
Enumeration date
08/02/2023
Last updated
02/19/2024
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