Individual provider · Type 1 NPI

Nicole Denise Nickens, MSN, A-GPNP-BC

Nurse Practitioner · Cleveland Heights, OH

NPI number 1609082486 Active

Practice location

2000 Lee Rd Ste 219
Cleveland Heights, OH 44118-2559

Fax (216) 516-0558

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Internal Medicine) Physician 207RA0401XCNP020745 (OH)
Nurse Practitioner Primary 363L00000XAPRN.CNP.020745 (OH)
Registered Nurse 163W00000XRN346914 (OH)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XCNP020745 (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1609082486

Nicole Denise Nickens, MSN, A-GPNP-BC's National Provider Identifier is 1609082486, issued on May 16, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cleveland Heights, OH. The record was last updated on Jul 4, 2026.