Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TERRY NICKERSON SR.
Active Sole ProprietorTERRY NICKERSON SR. is a Van Provider healthcare provider located in COLUMBIA, Missouri. NPI 1427534478 is currently active in the NPPES registry. Verify at CMS.
Van Provider · COLUMBIA, MO
Registration Details
- NPI Number
- 1427534478
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2018 (8.0962506641382 yrs)
- Last Updated
- Jul 12, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
312B NEBRASKA AVE # BCOLUMBIA, MO, 652013961Browse MO providers · Browse ZIP 65201
- Phone
- 5734411414
- Primary Specialty
-
Van Provider
344600000X
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.