Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE RENEE NISSEN
ActiveNICOLE RENEE NISSEN is a Family Nurse Practitioner healthcare provider located in WATERLOO, Illinois. NPI 1629569843 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · WATERLOO, IL
Registration Details
- NPI Number
- 1629569843
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 23, 2018 (8.2598509005546 yrs)
- Last Updated
- Apr 17, 2025
- Licenses
-
209017442 (IL)2018012260 (MO)
Practice Information
- Address
-
623 HAMACHER STWATERLOO, IL, 622981786Browse IL providers · Browse ZIP 62298
- Phone
- 3149250903
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in WATERLOO, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. SARAH LYNETTE SANDOVAL | NP | 1093224438 |
| CHRISTINA E LAMBERT | FNP-BC | 1760942767 |
| RACHEL BROCK | FNP | 1700478328 |
| DR. MEGAN LUTMAN | FNP | 1548000318 |
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.