Individual provider · Type 1 NPI
Teresann Nickle, FNP-BC, PMHNP-BC, DN
Psychiatric/Mental Health Nurse Practitioner · Guadalupe, CA
NPI number
1831245786
Active
Practice location
4723 W. Main St., Ste H
Guadalupe, CA 93434
Fax (805) 249-0091
Mailing address
5831 S Harbison Ave
Indianapolis, IN 46239-9658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN501703 (CA) |
| Family Nurse Practitioner | 363LF0000X | 501703 (CA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 501703 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 71012379A (IN) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN501703 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1831245786
Teresann Nickle, FNP-BC, PMHNP-BC, DN's National Provider Identifier is 1831245786, issued on Jan 25, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Guadalupe, CA. The record was last updated on Mar 16, 2022.