person
Renee Nickerson, NP
Family Nurse Practitioner in Liverpool, New York
NPI 1760797229

Renee Nickerson is a Family Nurse Practitioner based in Marcellus, NY and is specialized in Family. Renee Nickerson practices in Liverpool, NY and has the professional credentials of NP. The NPI Number for Renee Nickerson is 1760797229 and holds a License No. 402840 (New York).

The current practice location address for Renee Nickerson is 4567 Crossroads Park Dr, Liverpool, NY and can be reached out via phone at 315-883-1631 and via fax at 315-883-1688.

Location: 4567 Crossroads Park Dr, Liverpool, NY, 13108-9640
person
Provider Profile Details
NPI Number
1760797229
Provider Name
Renee Nickerson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
4567 Crossroads Park Dr, Liverpool, NY, 13108-9640
Phone Number
315-883-1631
Fax Number
315-883-1688
Provider Enumeration Date
08/09/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4567 Crossroads Park Dr
City
State
Zip
13088-3589
Phone Number
315-883-1631
Fax Number
315-883-1688
person
Provider Business Mailing Address Details
Address
4567 Crossroads Park Dr
City
State
Zip
13088-3589
Phone Number
315-883-1631
Fax Number
315-883-1688
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
335994 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
402840 (New York)
Definition
Definition to come...
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