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Gasong Yun Nickerson
Family Nurse Practitioner in Sacramento, California
NPI 1962877282

Gasong Yun Nickerson is a Family Nurse Practitioner based in Sacramento, CA and is specialized in Family. Gasong Yun Nickerson practices in Sacramento, CA. The NPI Number for Gasong Yun Nickerson is 1962877282 and holds a License No. F340096 (California).

The current practice location address for Gasong Yun Nickerson is 2800 L St Ste 500, Sacramento, CA and can be reached out via phone at 916-454-6850.

Location: 2800 L St Ste 500, Sacramento, CA, 95816-5616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962877282
Provider Name
Gasong Yun Nickerson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2800 L St Ste 500, Sacramento, CA, 95816-5616
Phone Number
916-454-6850
Fax Number
Provider Enumeration Date
12/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2800 L St Ste 500
City
Sacramento
State
California
Zip
95816-5616
Phone Number
916-454-6850
Fax Number
person
Provider Business Mailing Address Details
Address
2800 L St Ste 500
City
Sacramento
State
California
Zip
95816-5616
Phone Number
916-454-6850
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F340096 (New York)
Definition
Definition to come...
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