CAROL CRISTMAN NICKLESS RN PHN BSN NPI 1427171008

NPI Information

  • NPI: 1427171008
  • Provider Name: CAROL CRISTMAN NICKLESS, RN, PHN, BSN
  • Classification: Registered Nurse - 163WC1500X
  • Specialization: Community Health
  • Entity Type: Individual
  • Address: 12366 GRANDEE CT
    SAN DIEGO, CA
    ZIP 92128
  • Phone: (858) 676-0096

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NPI Details

Carol Cristman Nickless, RN, PHN, BSN is a community health registered nurse in San Diego, CA. Carol Cristman Nickless, RN, PHN, BSN NPI is 1427171008. 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:

12366 GRANDEE CT
SAN DIEGO, CA
ZIP 92128-120
Phone: (858) 676-0096

The enumeration date for this NPI number is 4/9/2007 and was last updated on 7/8/2007.

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
1163WC1500XRegistered NurseCommunity Health536023CALIFORNIAYes

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: 11/21/2025

NPI Synchronization or Removal

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