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1811562168
HEATHER DENISE NICKELL
LOUISA, KY
NPI
1811562168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY 3015520)
Enumeration Date
2021-05-20
Last Update Date
2024-03-19
Business Address
HEATHER DENISE NICKELL PMHNP
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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Mailing Address
HEATHER DENISE NICKELL PMHNP
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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