Yvette Nickerson
Registered Nurse, Psych/Mental Health, Adult in Detroit, MI. Individual provider (NPI-1).
NPI number1669100855
StatusActive
Last updated in NPPESAug 15, 2022
Details
- NPI
- 1669100855
- Entity type
- Individual (NPI-1)
- Name
- Yvette Nickerson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2022
- Certification date
- Aug 15, 2022
- Last updated
- Aug 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 4704150235 | MI | Yes |
Practice location
4646 John R StDetroit, MI 48201-1916
Phone 313-576-1000
Mailing address
4646 John R StDetroit, MI 48201-1916
Phone 313-576-1000
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