Nickels-Nelson, Gina M
Nickels-Nelson, Gina M is an individual health care provider with primary practice located at 3310 Patriot Dr , Tyler TX 75701-6606. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nickels-Nelson, Gina M can be contacted via phone (903) 877-7200.Contact Information
Primary practice address
3310 Patriot Dr
Tyler TX 75701-6606
Phone: (903) 877-7200
Fax: (903) 877-7778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1007313 | Texas |
Profile Details
| NPI number | 1376526921 |
|---|---|
| LBN Legal business name | Nickels-Nelson, Gina M |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Jul 29th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376526921 | NPPES |
| Vermont | MEDICAID | 1010076 |
Popular Providers
-
Pilette, Jeffrey S
1910 Roseland Blvd , Tyler TX 75701-4246 -
Fuquay, Lori Dillard
520 Douglas Blvd , Tyler TX 75702-8307 -
Chaney, Cynthia
912 S Fleishel Ave , Tyler TX 75701-2018 -
Watson, Michael Gary
800 East Dawson Street Emergency Department, Tyler TX 75701 -
Osuagwu, Christiana C
11937 Us Highway 271 , Tyler TX 75708-3154 -
Mendoza, Melanie Lynn
Christus Trinity Clinic 520 E. Douglas Blvd., Tyler TX 75702 -
Elliott, Zana
967 Pruitt Pl , Tyler TX 75703-1153 -
Quiambao, Enrique C
1133 Medical Dr , Tyler TX 75701-2130