IndividualActive
James Nicely, PA-C
NPI 1073614236 · Surgical Physician Assistant · Carson City, NV
Provider details
- NPI number
- 1073614236
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 123 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1001 Mountain St
Suite 3 M
Carson City, NV 89703-3822
Phone: (775) 885-8890
Fax: (775) 885-8865
Approximate (ZIP-level) locationGet directions
Mailing address
1001 Mountain St
Carson City, NV 89703-3822
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.