MS. NANCY J NICKERSON AHCNS NPI 1053490508

NPI Information

NPI: 1053490508
Provider Name: MS. NANCY J NICKERSON, AHCNS
Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
4921 PARKVIEW PL
DIV SURG CT ADULT CARDIO, STE 8A
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 362-7260
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MS. Nancy J Nickerson, AHCNS is an adult health clinical nurse specialist in Saint Louis, MO with 25 years of experience. MS. Nancy J Nickerson, AHCNS NPI is 1053490508. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4921 PARKVIEW PL
DIV SURG CT ADULT CARDIO, STE 8A
SAINT LOUIS, MO
ZIP 63110-032
Phone: (314) 362-7260
Fax: (314) 362-6288

The NPI 1053490508 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 4/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SA2200X	Clinical Nurse Specialist	Adult Health	068264	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	420061225	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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