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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACKIE NICKERSON

Active

JACKIE NICKERSON is a Foot & Ankle Surgery healthcare provider located in JACKSONBURG, West Virginia. NPI 1184510117 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery · JACKSONBURG, WV

Registration Details

NPI Number
1184510117
Provider Type
Individual
Gender
Female
NPI Issued
Jun 16, 2025 (1.151434463088 yrs)
Last Updated
Jun 16, 2025

Practice Information

Address
59071 CROZIER RD
JACKSONBURG, WV, 43933
Browse WV providers · Browse ZIP 43933
Phone
7405792697
Primary Specialty
Foot & Ankle Surgery
3747P1801X

Other Foot & Ankle Surgery Providers in JACKSONBURG, WV

Name Credential NPI
TYVETTE LEMASTERS 1164026076
CHRISTINA LYNN GEORGE 1154064137
TIFFANY MIRANDA QUINN 1114785045
ERIN ELIZABETH DAVIS 1811716566
BRANDI RAE HARRIS 1932072311
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.