Individual provider · Type 1 NPI

Kelli Nickols, APN

Family Nurse Practitioner · Harvey, IL

NPI number 1578847489 Active

Practice location

1 Ingalls Dr, Wyman Gordon Pavilion- Home Care Division
Harvey, IL 60426-3558

Fax (708) 915-6357

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209008896 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1578847489

Kelli Nickols, APN's National Provider Identifier is 1578847489, issued on Oct 11, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Harvey, IL. The record was last updated on Nov 5, 2012.