Nickens, Nicole Denise
Nickens, Nicole Denise is an sole proprietor health care provider with primary practice located at 2000 Lee Rd Ste 219 , Cleveland Heights OH 44118-2559. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Nickens, Nicole Denise can be contacted via phone (216) 446-5117.Contact Information
Primary practice address
2000 Lee Rd Ste 219
Cleveland Heights OH 44118-2559
Phone: (216) 446-5117
Fax: (216) 516-0558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | CNP020745 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APRN.CNP.020745 | Ohio |
| Nursing Service Providers / Registered Nurse | 163W00000X | RN346914 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | CNP020745 | Ohio |
Profile Details
| NPI number | 1609082486 |
|---|---|
| LBN Legal business name | Nickens, Nicole Denise |
| Credentials | MSN, A-GPNP-BC, |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2007 |
| Last updated | Jul 4th, 2026 - about 3 months 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 | 1609082486 | NPPES |
| Ohio | MEDICAID | 0323866 | |
| Ohio | MEDICAID | 1609082486 | |
| Ohio | MEDICAID | 2462777 | |
| Ohio | Other | 1396466272 | |
| Ohio | Other | 1750217519 | |
| Ohio | MEDICAID | 0223866 |
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