Individual provider · Type 1 NPI
Kira Nickols, FNP-BC
Family Nurse Practitioner · Baltimore, MD
NPI number
1063239366
Active
Practice location
345 Saint Paul St
Baltimore, MD 21202-2123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R192096 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1063239366
Kira Nickols, FNP-BC's National Provider Identifier is 1063239366, issued on Sep 26, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Baltimore, MD. The record was last updated on Aug 21, 2026.