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Jeremy Don Nickerson
Peer Specialist in Grand Island, Nebraska
NPI 1134626211

Jeremy Don Nickerson is a Peer Specialist based in Grand Island, NE. Jeremy Don Nickerson practices in Grand Island, NE. The NPI Number for Jeremy Don Nickerson is 1134626211 and holds a License No. (Nebraska).

The current practice location address for Jeremy Don Nickerson is 914 Baumann Dr, Grand Island, NE and can be reached out via phone at 308-385-5250 and via fax at 308-385-5271.

Location: 914 Baumann Dr, Grand Island, NE, 68803-4401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134626211
Provider Name
Jeremy Don Nickerson
Credential
Provider Entity Type
Individual
Gender
Male
Address
914 Baumann Dr, Grand Island, NE, 68803-4401
Phone Number
308-385-5250
Fax Number
308-385-5271
Provider Enumeration Date
04/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
914 Baumann Dr
City
Grand Island
State
Nebraska
Zip
68803-4401
Phone Number
308-385-5250
Fax Number
308-385-5271
person
Provider Business Mailing Address Details
Address
914 Baumann Dr
City
Grand Island
State
Nebraska
Zip
68803-4401
Phone Number
308-385-5250
Fax Number
308-385-5271
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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