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Ms. Chevonne Marie Nickerson, FNP
Family Nurse Practitioner in Corning, New York
NPI 1386616977

Chevonne Marie Nickerson is a Family Nurse Practitioner based in Sayre, NY and is specialized in Family. Chevonne Marie Nickerson practices in Corning, NY and has the professional credentials of FNP. The NPI Number for Chevonne Marie Nickerson is 1386616977 and holds a License No. F331493 (New York).

The current practice location address for Chevonne Marie Nickerson is 130 Centerway, Corning, NY and can be reached out via phone at 607-973-8000 and via fax at 607-973-8161.

Location: 130 Centerway, Corning, NY, 18840-1625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386616977
Provider Name
Chevonne Marie Nickerson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
130 Centerway, Corning, NY, 18840-1625
Phone Number
607-973-8000
Fax Number
607-973-8161
Provider Enumeration Date
02/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500019277 01 NY RR MEDICARE PIN
01731906 05 NY
CC8362 01 NY RR MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
130 Centerway
City
Corning
State
New York
Zip
14830
Phone Number
607-973-8000
Fax Number
607-973-8161
person
Provider Business Mailing Address Details
Address
130 Centerway
City
Corning
State
New York
Zip
14830
Phone Number
607-973-8000
Fax Number
607-973-8161
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
F331493-1 (New York)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F331493 (New York)
Definition
Definition to come...
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