Nichole Hickman, NP
Nurse Practitioner, Pediatrics in Bloomington, IN. Individual provider (NPI-1).
NPI number1003802067
StatusActive
Last updated in NPPESFeb 26, 2025
Details
- NPI
- 1003802067
- Entity type
- Individual (NPI-1)
- Name
- Nichole Hickman
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 26, 2005
- Certification date
- Feb 26, 2025
- Last updated
- Feb 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 71001444a | IN | Yes |
Practice location
350 S Landmark AveBloomington, IN 47403-5001
Phone 812-335-2434 · Fax 812-335-7604
Mailing address
350 S Landmark AveBloomington, IN 47403-5001
Phone 812-335-2434 · Fax 812-335-7604
Other practice locations
651 S Clarizz Blvd
Bloomington, IN 47401-5523
Bloomington, IN 47401-5523
Phone 812-335-2435
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