Nickum, Tara

Nickum, Tara is an individual health care provider with primary practice located at 2080 Erion Rd , Batavia OH 45103-8928. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Nickum, Tara can be contacted via phone (513) 403-4497.

Contact Information

Primary practice address
2080 Erion Rd Batavia OH 45103-8928
Phone: (513) 403-4497
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRNCNP020769 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3011176 Kentucky

Profile Details

NPI number 1659808558
LBN Legal business name Nickum, Tara
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2017
Last updated May 23rd, 2017 - about 7 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.

Request for update

Popular Providers