Nicks, Cheryl Lynn

Nicks, Cheryl Lynn is an individual health care provider with primary practice located at 1101 Medical Ctr. Blvd. Nicu, Marrero LA 70072. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Nicks, Cheryl Lynn can be contacted via phone (504) 349-2427.

Contact Information

Primary practice address
1101 Medical Ctr. Blvd. Nicu Marrero LA 70072
Phone: (504) 349-2427
Fax: (504) 349-2426
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 01190 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X AP01190 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X RN041131 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X AP01190 Louisiana

Profile Details

NPI number 1174714588
LBN Legal business name Nicks, Cheryl Lynn
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2007
Last updated Mar 6th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174714588 NPPES
Louisiana MEDICAID 1134007
Louisiana MEDICAID 08025373

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