Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATIE GARDNER NICKERSON, PA-C
ActiveKATIE GARDNER NICKERSON, PA-C is a Medical Physician Assistant healthcare provider located in NORTH CHARLESTON, South Carolina. NPI 1720358070 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · NORTH CHARLESTON, SC
Registration Details
- NPI Number
- 1720358070
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 4, 2012 (14.628906377042 yrs)
- Last Updated
- Mar 9, 2017
- Licenses
-
0010-03197 (NC)2251 (SC)
Practice Information
- Address
-
8740 RIVERS AVENORTH CHARLESTON, SC, 294069211Browse SC providers · Browse ZIP 29406
- Phone
- 8435725990
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in NORTH CHARLESTON, SC
| Name | Credential | NPI |
|---|---|---|
| GREGORY LOUIS BERES | PA-C | 1306831383 |
| STEPHEN PATRICK HAMM | PA-C | 1639156094 |
| DAVID LAURENCE GROSS | PA | 1578597480 |
| MARY L HEWETT | PA | 1922033851 |
| MR. CHRISTOPHER C STEPHANOFF | PA | 1265442891 |
| VIRGINIA G BLEASE | PA | 1942330238 |
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.