NPI 1033048491

Taylor Marie Nickerson

Practitioner Adult Care Home Facility Lake City, MI

Practice location

Address: 1266 N Forward Rd, Lake City, MI 49651-9393
Phone: (231) 920-8152

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence AM570363712 (MI)

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Registry record

NPI: 1033048491
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 May 2026
Record last updated: 13 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.