Individual
KARLEE FAYE NICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1326 S SERVICE RD W STE 10, SULLIVAN, MO 63080-2306
(573) 468-4455
(573) 468-4451
Mailing address
306 E PETERS AVE, OWENSVILLE, MO 65066-1141
(573) 569-5214
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2025053007
MO
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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