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Madison Haley Nicksic

NPI Registration Record

Provider / OrganizationNPIDate Certified
MADISON HALEY NICKSIC16096022752024-10-13

Madison Haley Nicksic is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1609602275. Registration indicates Madison Haley Nicksic is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)

Entity TypeIndividual
Provider NameMrs. Madison Haley Nicksic FNP-BC
Practice Office Address701 GROVE RD
GREENVILLE, SC US
Practice Office Telephone4237544691
Mailing Address56 POINTE CIR
GREENVILLE, SC 296153506 US
Business Telephone8647578500
HPT Codes
CodePractice
License No
State
363L00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Nurse PractitionerAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Nurse Practitioner

All Other Specialties & Provider Types

Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
267813
SC
OPI Codes
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