Individual provider · Type 1 NPI

Jenna Nickerson, NP

Family Nurse Practitioner · Horseheads, NY

NPI number 1639041734 Active

Practice location

3344 Chambers Rd
Horseheads, NY 14845-1403

Mailing address

226 Fairfield Dr
Horseheads, NY 14845-2286

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X357742 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1639041734

Jenna Nickerson, NP's National Provider Identifier is 1639041734, issued on Sep 19, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Horseheads, NY. The record was last updated on Sep 19, 2025.