Individual provider · Type 1 NPI

Brandi Rene Nickels, PA-C

Physician Assistant · Osage Beach, MO

NPI number 1386548543 Active

Practice location

54 Hospital Dr
Osage Beach, MO 65065-3050

Call (573) 348-8000 Map

Mailing address

27311 Highway Nn
Laquey, MO 65534-7544

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2026047807 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1386548543

Brandi Rene Nickels, PA-C's National Provider Identifier is 1386548543, issued on Oct 2, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Osage Beach, MO. The record was last updated on Oct 2, 2026.