IndividualActive
Jeremy Nickerson
NPI 1134626211 · Peer Specialist · Grand Island, NE
Provider details
- NPI number
- 1134626211
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
914 Baumann Dr
Grand Island, NE 68803-4401
Phone: (308) 385-5250
Fax: (308) 385-5271
Approximate (ZIP-level) locationGet directions
Mailing address
914 Baumann Dr
Grand Island, NE 68803-4401
Registry dates
- Enumerated
- 2018-04-06
- Last updated
- 2018-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.