Deborah Avis Nickerson , LPN
Licensed Practical Nurse • Locke, NY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Deborah Nickerson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Deborah Nickerson, LPN was a registered Licensed Practical Nurse practicing in Locke, NY. Throughout an active medical career spanning 10 years, Deborah Nickerson provided care at the practice location at 5227 ERRON HILL RD until profile deactivation on 2019-08-21.
Practice Location & Contact Primary Location
5227 Erron Hill Rd
Locke, NY 130923106
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Locke, NY
Practicing in Locke, NY (23738 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Career & Practice History Timeline
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Record deactivated on August 21, 2019
NPI status registered as active in NPPES database
Registered at 5227 ERRON HILL RD, LOCKE, NY 130923106 (Tel: 3152836729)
Registered at 5227 ERRON HILL RD, LOCKE, NY 130923106 (Tel: 3152836729)
Recorded as DEBORAH NICKERSON, LPN
Licensed Practical Nurse (License #279290 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
5227 Erron Hill Rd
Locke, NY 130923106
Phone: 3152836729
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