Individual provider · Type 1 NPI

Kimberly Nicholson, APN

Nurse Practitioner · Long Grove, IL

NPI number 1245636026 Active

Practice location

3880 Salem Lake Dr Ste F
Long Grove, IL 60047-5292

Call (847) 719-2220 Map

Fax (847) 719-2265

Other practice locations

800 E Woodfield Rd Ste 113, Schaumburg, IL 60173-4786 · (847) 686-6866

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	209012143 (IL)

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 1245636026

Kimberly Nicholson, APN's National Provider Identifier is 1245636026, issued on Nov 6, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Long Grove, IL. The record was last updated on Mar 7, 2023.