Male or Other

Jeremy D. Nickerson

Peer Specialist in Grand Island, NE(View on Map)

Full Name

Jeremy Don Nickerson

NPI Number

1134626211

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/06/2018

Specialties

(Taxonomies)

Code

175T00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

914 BAUMANN DR
914 BAUMANN DR

City

Grand Island
Grand Island

State

NE
NE

Postal Code

68803-4401
68803-4401

Country

US
US

Telephone Number

(308) 385-5250
(308) 385-5250

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/06/2018

Provider Address

Other Peer Specialist in Grand Island, Nebraska:

Male or Other

Duane Krolikowski

Grand Island, NE

Specialty: Peer Specialist (Primary)