Individual
BILLIE NICOSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
476 BUCKEYE ST, TERRE HAUTE, IN 47804-4079
(812) 238-4708
Mailing address
476 BUCKEYE ST, TERRE HAUTE, IN 47804-4079
(812) 238-4708
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28251236A
IN
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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