Individual provider · Type 1 NPI
Nickolas Lee Childress
Nurse Practitioner · Rochester, IN
Practice location
392 Rochester Crossing Dr
Rochester, IN 46975-7034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 7101337A (IN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1225906282
Nickolas Lee Childress's National Provider Identifier is 1225906282, issued on Oct 29, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rochester, IN. The record was last updated on Oct 29, 2025.