Individual provider · Type 1 NPI

Tara Nickum, CNP

Nurse Practitioner · Batavia, OH

NPI number 1659808558 Active

Practice location

2080 Erion Rd
Batavia, OH 45103-8928

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRNCNP020769 (OH)
Nurse Practitioner 363L00000X3011176 (KY)

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 1659808558

Tara Nickum, CNP's National Provider Identifier is 1659808558, issued on May 23, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Batavia, OH. The record was last updated on May 23, 2017.