Individual provider · Type 1 NPI
Kelly Ann Nickerson, RN, BSN
Addiction (Substance Use Disorder) Registered Nurse · Damascus, OR
NPI number
1235969742
Active
Practice location
15758 SE Highway 224 Unit 96
Damascus, OR 97089-8410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse Primary | 163WA0400X | 201142980RN (OR) |
Addiction (Substance Use Disorder) Registered Nurse: Definition to come...
About NPI 1235969742
Kelly Ann Nickerson, RN, BSN's National Provider Identifier is 1235969742, issued on Aug 7, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Damascus, OR. The record was last updated on Aug 7, 2024.