Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LACIE JO NICKLE, CNA
Active Sole ProprietorMRS. LACIE JO NICKLE, CNA is a Home Health healthcare provider located in CLINTON, Indiana. NPI 1407568066 is currently active in the NPPES registry. Verify at CMS.
Home Health · CLINTON, IN
Registration Details
- NPI Number
- 1407568066
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 14, 2022 (3.6248967559405 yrs)
- Last Updated
- Dec 14, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
558 N 8TH STCLINTON, IN, 478421851Browse IN providers · Browse ZIP 47842
- Phone
- 2174994981
- Primary Specialty
-
Home Health
251E00000X
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.