Individual
DR. TERESANN NICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC, DN
Contact information
Practice address
4723 W. MAIN ST., STE H, GUADALUPE, CA 93434
(805) 343-5577
(805) 249-0091
Mailing address
5831 S HARBISON AVE, INDIANAPOLIS, IN 46239-9658
(505) 506-4700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
501703
CA
363LF0000X
Family Nurse Practitioner
RN501703
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
501703
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71012379A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN501703
CA
Other
Enumeration date
01/25/2007
Last updated
03/16/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us