Most Relevant Information
Provider Data
| NPI Number: | 1003225376 |
| Provider Name: | JENNIFER NICKENS FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 131790 |
Most Important Dates
| Enumeration Date: | 08/12/2014 |
| Last Updated: | 04/10/2024 |
Provider Practice Location
4200 REGENT ST STE 200
COLUMBUS
OH
432196229
Practice Location Phone/Fax
| Phone: | 2487800050 |
| Fax: |
Provider Mailing Location
4200 REGENT ST STE 200
COLUMBUS
OH
432196229
Provider Mailing Phone/Fax
| Phone: | 8778701775 |
| Fax: | 6149688840 |