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

NICOLE BISHOP

Active Sole Proprietor

NICOLE BISHOP is a In Home Supportive Care Agency healthcare provider located in EDWARDSVILLE, Illinois. NPI 1699421610 is currently active in the NPPES registry. Verify at CMS.

In Home Supportive Care Agency · EDWARDSVILLE, IL

Registration Details

NPI Number
1699421610
Provider Type
Individual
Gender
Female
NPI Issued
Feb 28, 2022 (4.4913044073985 yrs)
Last Updated
Feb 28, 2022
License
3001965 (IL)
Sole Proprietor
Yes

Practice Information

Address
105 SOUTHPOINTE DR STE B
EDWARDSVILLE, IL, 620253651
Browse IL providers · Browse ZIP 62025
Phone
6183079534
Primary Specialty
In Home Supportive Care Agency
253Z00000X
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.