Nickels-Nelson, Gina M
Nickels-Nelson, Gina M is an individual health care provider with primary practice located at 3310 Patriot Dr , Tyler TX 75701-6606. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nickels-Nelson, Gina M can be contacted via phone (903) 877-7200.Contact Information
Primary practice address
3310 Patriot Dr
Tyler TX 75701-6606
Phone: (903) 877-7200
Fax: (903) 877-7778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1007313 | Texas |
Profile Details
| NPI number | 1376526921 |
|---|---|
| LBN Legal business name | Nickels-Nelson, Gina M |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Jul 29th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376526921 | NPPES |
| Vermont | MEDICAID | 1010076 |
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