Individual
SHAYLA NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
159 N OGDEN AVE, COLUMBUS, OH 43204-3313
(614) 897-2638
Mailing address
1739 STRINGTOWN RD # 1029, GROVE CITY, OH 43123-9125
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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