Individual provider · Type 1 NPI

Tamika Mickie

Gerontology Nurse Practitioner · Horsham, PA

NPI number 1023697000 Active

Practice location

680 Blair Mill Rd
Horsham, PA 19044-2223

Mailing address

3725 Rosemont Ave
Drexel Hill, PA 19026-3009

Other practice locations

  • 889 S Little Creek Rd, Dover, DE 19901-4721 · (302) 674-0566

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XSP022939 (PA)
Registered Nurse 163W00000XRN635596 (PA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1023697000

Tamika Mickie's National Provider Identifier is 1023697000, issued on Apr 6, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Horsham, PA. The record was last updated on Sep 29, 2026.