Nickerson, Katie Gardner

Nickerson, Katie Gardner is an individual health care provider with primary practice located at 8740 Rivers Ave , North Charleston SC 29406-9211. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Nickerson, Katie Gardner can be contacted via phone (843) 572-5990.

Contact Information

Primary practice address
8740 Rivers Ave North Charleston SC 29406-9211
Phone: (843) 572-5990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-03197 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2251 South Carolina

Profile Details

NPI number 1720358070
LBN Legal business name Nickerson, Katie Gardner
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2012
Last updated Mar 9th, 2017 - about 8 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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