Jacquelyn Olivia Nickel (NPI# 1992165674, PAC ID# 8820395031) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
| Nation Provider ID (NPI) | 1992165674 |
| PAC ID by PECOS | 8820395031 |
| Professional Enrollment ID | I20160401000462 |
| Full Name | Jacquelyn Olivia Nickel |
| Organization Legal Name | INDIAN HEALTH CARE RESOURCE CENTER |
| Address |
550 S Peoria Ave Tulsa OK 74120-3820 |
| Phone Number | 9183821261 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| Group Practice PAC ID | 0042117590 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 550 S Peoria Ave, Tulsa, OK 74120-3820 | 9183821261 | INDIAN HEALTH CARE RESOURCE CENTER |
| Organization Legal Name | INDIAN HEALTH CARE RESOURCE CENTER |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Anne Duncklee | Clinical Social Worker | Indian Health Care Resource Center | 550 S Peoria Ave, Tulsa, OK 74120-3820 |
| Lisa Michelle Lorett Weiche | Clinical Social Worker | Indian Health Care Resource Center | 550 S Peoria Ave, Tulsa, OK 74120-3820 |
| Valerie Michelle Howard | Internal Medicine | Indian Health Care Resource Center | 550 S Peoria Ave, Tulsa, OK 74120-3820 |
| Michael G Scott | Family Medicine | Indian Health Care Resource Center | 550 S Peoria Ave, Tulsa, OK 74120-3820 |
| Heidi E Dawson | Physician Assistant | Indian Health Care Resource Center | 550 S Peoria Ave, Tulsa, OK 74120-3820 |
| Emmanuel Jesus Roman | Psychiatry | Indian Health Care Resource Center | 550 S Peoria Ave, Tulsa, OK 74120-3820 |
| Kasi Melissa Ketcher | Nurse Practitioner | Indian Health Care Resource Center | 550 S Peoria Ave, Tulsa, OK 74120-3820 |
| Kathleen Burr | Certified Nurse Midwife (cnm) | Indian Health Care Resource Center | 550 S Peoria Ave, Tulsa, OK 74120-3820 |
| Jesicah Marie Gilmore | Family Medicine | Indian Health Care Resource Center | 550 S Peoria Ave, Tulsa, OK 74120-3820 |
| Jennifer Katherine Jones | Optometry | Indian Health Care Resource Center | 550 S Peoria Ave, Tulsa, OK 74120-3820 |
| Street Address |
550 S PEORIA AVE |
| City | TULSA |
| State | OK |
| Zip | 74120-3820 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Anne Duncklee | Clinical Social Worker | Indian Health Care Resource Center | 550 S Peoria Ave, Tulsa, OK 74120-3820 |
| Lisa Michelle Lorett Weiche | Clinical Social Worker | Indian Health Care Resource Center | 550 S Peoria Ave, Tulsa, OK 74120-3820 |
| Valerie Michelle Howard | Internal Medicine | Indian Health Care Resource Center | 550 S Peoria Ave, Tulsa, OK 74120-3820 |
| Michael G Scott | Family Medicine | Indian Health Care Resource Center | 550 S Peoria Ave, Tulsa, OK 74120-3820 |
| Heidi E Dawson | Physician Assistant | Indian Health Care Resource Center | 550 S Peoria Ave, Tulsa, OK 74120-3820 |
| Emmanuel Jesus Roman | Psychiatry | Indian Health Care Resource Center | 550 S Peoria Ave, Tulsa, OK 74120-3820 |
| Kasi Melissa Ketcher | Nurse Practitioner | Indian Health Care Resource Center | 550 S Peoria Ave, Tulsa, OK 74120-3820 |
| Kathleen Burr | Certified Nurse Midwife (cnm) | Indian Health Care Resource Center | 550 S Peoria Ave, Tulsa, OK 74120-3820 |
| Jesicah Marie Gilmore | Family Medicine | Indian Health Care Resource Center | 550 S Peoria Ave, Tulsa, OK 74120-3820 |
| Jennifer Katherine Jones | Optometry | Indian Health Care Resource Center | 550 S Peoria Ave, Tulsa, OK 74120-3820 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Landers | Sports Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
| Lori L Franklin | Nurse Practitioner | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
| Rocky Sowards | Physical Therapy | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
| Lauren Jennette Moore | Family Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
| James H Beebe | Family Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
| Bren Jelea Ulberg | Clinical Social Worker | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
| Hannah Hargis | Physical Therapy | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
| Alton W Rae | Family Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
| Christopher Crane | Family Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
| Amanda Lynn Brown | Family Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
| Find all physicians in zip 74120 | |||
| City | TULSA |
| Zip Code | 74120 |
| Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| City + Specialty | TULSA + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
Please comment or provide details below to improve the information on Jacquelyn Olivia Nickel.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.