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NPI Code Detail

MEDICARE: CATHERINE NICKERSON NP

MEDICARE: CATHERINE NICKERSON NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN.CNP.0031277OH

General Provider Information

NPI Number : 1841891926
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE NICKERSON NP
Provider Business Mailing Address
First Line : 1100 HILL RD N
Second Line :
City : PICKERINGTON
State : OH
Zip : 43147-8659
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 1100 HILL RD N
Second Line :
City : PICKERINGTON
State : OH
Zip : 43147-8659
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2020
Last Update Date : 11/07/2025

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Directions to “ CATHERINE NICKERSON NP” Practice Location

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