Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY NICKERSON
Active Sole ProprietorSTACEY NICKERSON is a Peer Specialist healthcare provider located in GREENSBORO, North Carolina. NPI 1679239974 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · GREENSBORO, NC
Registration Details
- NPI Number
- 1679239974
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 10, 2021 (4.7187315354989 yrs)
- Last Updated
- Oct 6, 2025
- License
-
HC6258 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2031 MARTIN LUTHER KING JR DR STE DGREENSBORO, NC, 274063300Browse NC providers · Browse ZIP 27406
- Phone
- 3365888268
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in GREENSBORO, NC
| Name | Credential | NPI |
|---|---|---|
| MR. TRENT THOMAS | — | 1811358864 |
| PORSHA GRIFFIN | — | 1215572896 |
| ALEXIS M CLEMONTS | — | 1689327280 |
| ELAINIE JONES | — | 1205669827 |
| THOMAS GARNER JR. | — | 1467286369 |
| JESSE DEMETRIUS HINTON | — | 1326858036 |
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.