Stephanie Nickerson, NP

NPI #1982966206 in Roanoke, Virginia

Provider Information

NPI Number: 1982966206
Entity Type: Individual
Name: Stephanie Nickerson, NP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: NP
Enumeration Date: Jun 12, 2012
Last Updated: May 9, 2025

Practice Location

Address: 3 RIVERSIDE CIR
City: Roanoke
State: Virginia
ZIP Code: 24016-4955
Phone: (540) 224-5170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary
Nurse Practitioner - Family — Family	363LF0000X

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