Individual
NICHOLE DAWN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2676 CHARLESTOWN RD STE 2A, NEW ALBANY, IN 47150-2574
(812) 725-7034
Mailing address
2676 CHARLESTOWN RD STE 2A, NEW ALBANY, IN 47150-2574
(812) 725-7034
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3007229
KY
363LF0000X
Family Nurse Practitioner
Primary
71003843A
IN
363LP2300X
Primary Care Nurse Practitioner
71003843A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001143240
ANTHEM
—
01
—
1799231
WELLCARE
—
01
—
201324120
MDWISE
—
05
—
201324120
—
IN
01
—
2017085
SIHO
—
01
—
6514104
UHC
—
01
—
9086917
AETNA
—
01
—
9912737
CIGNA
—
01
—
CS1817000344
CARESOURCE
—
Enumeration date
11/10/2011
Last updated
07/31/2023
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