Mrs. Debra Anne Nickerson
Nurse Practitioner - Neonatal (Critical Care)
1001 Blythe Blvd Suite 200
Charlotte
, North Carolina 28203-5866
Mrs. Debra Anne Nickerson
Nurse Practitioner - Neonatal (Critical Care)
1001 Blythe Blvd Suite 200
Charlotte
, North Carolina 28203-5866
(704) 381-8848
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About
Features
Specialties
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Mrs. Debra Anne Nickerson
- Po Box 601372 1001 Blythe Blvd., Suite 200
- Charlotte, NC
- Zip : 28260-1372
- Fax : (704) 381-8848
- Phone : (704) 381-8840
Second Address
- Mrs. Debra Anne Nickerson
- 1001 Blythe Blvd Suite 200
- Charlotte, NC
- Zip : 28203-5866
- Fax : (704) 381-8848
- Phone : (704) 381-8840
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 185859 | NC |
National Provider Identifier
| NPI | 1326274713 |
|---|---|
| Provider Name | Mrs. Debra Anne Nickerson |
| First Address | Charlotte, NC 28260-1372 |
| Second Address | Charlotte, NC 28203-5866 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2009 |
| Last Update Date | 28/11/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1326274713 | (05) | NC |
| NCT127A | (02) | NC |
| NP3938 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.