Individual
COURTNEY R NICKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1429 N 6TH ST, TERRE HAUTE, IN 47807-1019
(812) 242-3109
Mailing address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-4989
(812) 238-4508
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011801A
IN
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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