Individual provider · Type 1 NPI

Justin Ryan Nickel

Family Nurse Practitioner · Plano, TX

NPI number 1750167086 Active

Practice location

5208 Tennyson Pkwy Ste 100
Plano, TX 75024-7183

Call (844) 464-1611 Map

Mailing address

1103 Daffodil St
Princeton, TX 75407-9794

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1134807 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1750167086

Justin Ryan Nickel's National Provider Identifier is 1750167086, issued on Sep 4, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Plano, TX. The record was last updated on Sep 4, 2023.