Individual provider · Type 1 NPI
Ieasha Nickelson, RN
Occupational Health Registered Nurse · Bolingbrook, IL
NPI number
1447901079
Active
Practice location
1440 Clear Dr
Bolingbrook, IL 60490-5575
Mailing address
1112 W Boughton Rd Ste 249
Bolingbrook, IL 60440-1508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Medical Laboratory | 291U00000X | None listed |
| Occupational Health Registered Nurse Primary | 163WX0106X | 041393629 (IL) |
Occupational Health Registered Nurse: Definition to come...
Another provider at this address
About NPI 1447901079
Ieasha Nickelson, RN's National Provider Identifier is 1447901079, issued on Jan 14, 2022. The primary taxonomy on file is Occupational Health Registered Nurse (163WX0106X), and the practice location is in Bolingbrook, IL. The record was last updated on Jan 14, 2022.