Nickell, Dana Lynnette

Nickell, Dana Lynnette is an individual health care provider with primary practice located at 252 Whittington Pkwy , Louisville KY 40222-4904. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Nickell, Dana Lynnette can be contacted via phone (502) 423-7246.

Contact Information

Primary practice address
252 Whittington Pkwy Louisville KY 40222-4904
Phone: (502) 423-7246
Fax: (502) 426-7247
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71002399A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 3005528 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3005528 Kentucky

Profile Details

NPI number 1871794990
LBN Legal business name Nickell, Dana Lynnette
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Oct 6th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871794990 NPPES
Indiana Other 000000635581 ANTHEM
Indiana MEDICAID 200955730 ANTHEM

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