Stacey Nickerson
NPI #1679239974 in Greensboro, North Carolina
Provider Information
- NPI Number
- 1679239974
- Entity Type
- Individual
- Name
- Stacey Nickerson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Nov 10, 2021
- Last Updated
- Oct 6, 2025
Practice Location
- Address
- 2031 MARTIN LUTHER KING JR DR STE D
- City
- Greensboro
- State
- North Carolina
- ZIP Code
- 27406-3300
- Phone
- (336) 588-8268
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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