Ackley, Nicole

Ackley, Nicole is an individual health care provider with primary practice located at 900 Chestnut Street Ext Ste A , Bradford PA 16701-2298. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ackley, Nicole can be contacted via phone (814) 368-8490.

Contact Information

Primary practice address
900 Chestnut Street Ext Ste A Bradford PA 16701-2298
Phone: (814) 368-8490
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA052663 Pennsylvania

Profile Details

NPI number 1689763351
LBN Legal business name Ackley, Nicole
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Sep 21st, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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