Individual provider · Type 1 NPI

Melissa Renee Nickols, PA-C

Physician Assistant · Columbia, MD

NPI number 1396238499 Active

Practice location

7120 Minstrel Way Ste 100
Columbia, MD 21045-5274

Call (410) 290-6677 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XC0007235 (MD)

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 1396238499

Melissa Renee Nickols, PA-C's National Provider Identifier is 1396238499, issued on Jun 13, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Columbia, MD. The record was last updated on Mar 13, 2026.