Lacey Wickersham, APRN

NPI #1710716824 in Ontario, Oregon

Provider Information

NPI Number
1710716824
Entity Type
Individual
Name
Lacey Wickersham, APRN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
APRN
Enumeration Date
Jul 29, 2024
Last Updated
Jan 15, 2026

Practice Location

Address
896 FORTNER ST
State
Oregon
ZIP Code
97914-1787
Phone
(541) 881-2828

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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