person
Stephanie Nickerson, NP
Nurse Practitioner in Roanoke, Virginia
NPI 1982966206

Stephanie Nickerson is a Nurse Practitioner based in Roanoke, VA. Stephanie Nickerson practices in Roanoke, VA and has the professional credentials of NP. The NPI Number for Stephanie Nickerson is 1982966206 and holds a License No. AP131784 (Virginia).

The current practice location address for Stephanie Nickerson is 3 Riverside Cir, Roanoke, VA and can be reached out via phone at 540-224-5170.

Location: 3 Riverside Cir, Roanoke, VA, 24011-1713
person
Provider Profile Details
NPI Number
1982966206
Provider Name
Stephanie Nickerson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3 Riverside Cir, Roanoke, VA, 24011-1713
Phone Number
540-224-5170
Fax Number
Provider Enumeration Date
06/12/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
368109001 05 TX
8328MA 01 TX BCBS
ENROLLED 05 IA
ENROLLED 05 MN
institution
Provider Business Practice Location Address Details
Address
3 Riverside Cir
City
State
Zip
24016-4955
Phone Number
540-224-5170
Fax Number
person
Provider Business Mailing Address Details
Address
3 Riverside Cir
City
State
Zip
24016-4955
Phone Number
540-224-5170
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
207247-6 (Minnesota)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP131784 (Texas)
Definition
Definition to come...
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