Individual provider · Type 1 NPI
Stephanie Nickerson, NP
Family Nurse Practitioner · Roanoke, VA
NPI number
1982966206
Active
Practice location
3 Riverside Cir
Roanoke, VA 24016-4955
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 0024177488 (VA) |
| Family Nurse Practitioner | 363LF0000X | AP131784 (TX) |
| Family Nurse Practitioner | 363LF0000X | 207247-6 (MN) |
| Family Nurse Practitioner Primary | 363LF0000X | 0024177488 (VA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1982966206
Stephanie Nickerson, NP's National Provider Identifier is 1982966206, issued on Jun 12, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Roanoke, VA. The record was last updated on May 9, 2025.