COURTNEY GIBSON NICKELS (NPI# 1508802208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508802208 |
Entity Type | Individual |
Full Name | COURTNEY GIBSON NICKELS |
Other Name | COURTNEY ANNE GIBSON |
Credential | N.P. |
Practice Address |
1207 Highway 182 W Starkville MS 39759-9820 |
Mailing Address |
1164 Melrose St Starkville MS 39759-9055 |
Practice Telephone | 6623207800 |
Practice Fax Number | 6623207797 |
Mailing Telephone | 6015036912 |
Mailing Fax Number | 6623207797 |
Enumeration Date | 2006-06-21 |
Last Update Date | 2010-05-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R865275 | MS | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1207 HIGHWAY 182 W |
City | STARKVILLE |
State | MS |
Zip Code | 39759-9820 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215304696 | Christopher L Wright | Nurse Practitioner | 1207 Highway 182 W, Starkville, MS 39759-9820 | 2015-09-01 |
1720384217 | Imaging Center for Excellence | Radiology | 1207 Highway 182 W, Starkville, MS 39759-9820 | 2011-02-01 |
1528399524 | Radiation Oncology of North Ms Pllc | Clinic/Center | 1207 Highway 182 W, Starkville, MS 39759-9820 | 2010-01-15 |
1689751281 | Kaye W Stowell | Nurse Practitioner | 1207 Highway 182 W, Starkville, MS 39759-9820 | 2006-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336749274 | Medplus Starkville LLC | Clinic/Center | 1207 Ms 182, Starkville, MS 39759 | 2020-10-29 |
1033726930 | Katherine Campbell | Counselor | 796 Us 45 Alternate South, Starkville, MS 39759 | 2020-09-25 |
1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
1477174928 | Tina Whitehead | Massage Therapist | 518 Hwy 12 W, Starkville, MS 39759 | 2020-05-06 |
1699334284 | Ashley Kelton | Speech-Language Pathologist | Speech Therapy for Kids, 1411 Highway 389, Starkville, MS 39759 | 2019-06-07 |
1851850838 | Austin Fitzpatrick | Specialist/Technologist | 145 Lakeview Drive, Starkville, MS 39759 | 2019-03-18 |
1730645243 | Methodist of Mississippi Hospital & Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 101 G T Thames Dr, Starkville, MS 39759 | 2019-02-20 |
1457854648 | Ryan Lamar Dotson | Specialist/Technologist | 55 Coliseum Blvd, Starkville, MS 39759 | 2018-03-14 |
1679085948 | Alan Evans | Specialist | 106 North Lafayette St, Starkville, MS 39759 | 2017-10-26 |
1275057275 | Southern Foundation for Homeless Children | Home Health | 317 Martin Luther King Drive, Suite 102, Starkville, MS 39759 | 2017-08-01 |
Find all providers in zip 39759 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194377226 | Wecare Health Clinic | Nurse Practitioner | 823 Highway 12 W Ste C, Starkville, MS 39759-3593 | 2019-07-09 |
1689131401 | Amy Morgan Cain | Nurse Practitioner | 200 White Oak Ln, Starkville, MS 39759-6663 | 2019-02-28 |
1740744572 | Klancie Allison Smith | Nurse Practitioner | 1233 Steele Rd, Starkville, MS 39759-4723 | 2019-01-25 |
1316196850 | Johnnie Susan Cooper Wijewardane | Nurse Practitioner | 1430 Cedar Creek Ln, Starkville, MS 39759-8488 | 2008-09-09 |
1114111978 | Meredith Patton Hartline | Nurse Practitioner | 500 Russell St Ste 3, Starkville, MS 39759-5411 | 2007-09-04 |
1992881882 | Bethany Lee Greco | Nurse Practitioner | 732 Whitfield Street, Mississippi State Board of Health District Iv, Starkville, MS 39759 | 2006-10-31 |
1679174403 | Kimberlin Cotton | Nurse Practitioner | 401 Hospital Rd, Starkville, MS 39759-2164 | 2020-11-06 |
1497389902 | Lydia Ruth Rice | Nurse Practitioner | 900 Stark Rd, Starkville, MS 39759-3613 | 2020-02-24 |
1376180992 | Catherine Eldridge | Nurse Practitioner | 100 Wilburn Way, Starkville, MS 39759-3692 | 2019-12-02 |
1023581857 | Jana Louann Peterson | Nurse Practitioner | 400 Hospital Rd, Starkville, MS 39759-2163 | 2019-01-03 |
Find all providers in STARKVILLE |
City | STARKVILLE |
Zip Code | 39759 |
Please comment or provide details below to improve the information on COURTNEY GIBSON NICKELS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.