National Provider Identifier
Chevonne Marie Nickerson, FNP
Chevonne Marie Nickerson, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Corning, NY and a listed phone number of (607) 973-8000.
Profile Overview
- NPI
- 1386616977
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- February 07, 2006
- Last Updated
- March 24, 2021
Practice Location
- 130 Centerway
- Corning, NY 14830
Phone: (607) 973-8000
Mailing Address
- 1 Guthrie Sq
- Sayre, PA 18840-1625
Specialties
- Family Nurse Practitioner (363LF0000X)
- Family Medicine Physician (207Q00000X)
Endpoints
- cnickerson7502@direct-guthrie.org
Direct Messaging Address | Direct | Corning, NY 14830
Full Record
- NPI
- 1386616977
- Entity Type
- Individual
- Last Name
- Nickerson
- First Name
- Chevonne
- Middle Name
- Marie
- Name Prefix
- MS.
- Credential
- FNP
- Mailing Street Address
- 1 Guthrie Sq
- Mailing City
- Sayre
- Mailing State
- PA
- Mailing ZIP Code
- 18840-1625
- Mailing Country
- US
- Mailing Phone
- (570) 888-5858
- Practice Street Address
- 130 Centerway
- Practice City
- Corning
- Practice State
- NY
- Practice ZIP Code
- 14830
- Practice Country
- US
- Practice Phone
- (607) 973-8000
- Practice Fax
- (607) 973-8161
- Enumeration Date
- February 07, 2006
- Last Updated
- March 24, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 24, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Family Medicine Physician (207Q00000X)
- Other Identifiers
- 500019277 (NY, Rr Medicare Pin), 01731906 (NY), CC8362 (NY, Rr Medicare Group)