NPI 1134626211
Jeremy Don Nickerson
Practice location
- Address
- 914 Baumann Dr, Grand Island, NE 68803-4401
- Phone
- (308) 385-5250
- Fax
- (308) 385-5271
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1134626211
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Apr 2018
- Record last updated
- 6 Apr 2018
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.