Individual provider · Type 1 NPI

Chevonne Marie Nickerson, FNP

Family Nurse Practitioner · Corning, NY

NPI number 1386616977 Active

Practice location

130 Centerway
Corning, NY 14830

Fax (607) 973-8161

Mailing address

1 Guthrie Sq
Sayre, PA 18840-1625

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XF331493 (NY)
Family Nurse Practitioner Primary 363LF0000XF331493-1 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1386616977

Chevonne Marie Nickerson, FNP's National Provider Identifier is 1386616977, issued on Feb 7, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Corning, NY. The record was last updated on Mar 24, 2021.