Provider Demographics
NPI:1942445937
Name:STICKNEY, NICOLA JANE (DNP, ARNP)
Entity Type:Individual
Prefix:DR
First Name:NICOLA
Middle Name:JANE
Last Name:STICKNEY
Suffix:
Gender:F
Credentials:DNP, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:101 COLLEGE OF NURSING BLDG
Mailing Address - Street 2:50 NEWTON ROAD
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1117
Mailing Address - Country:US
Mailing Address - Phone:319-467-1256
Mailing Address - Fax:319-384-0080
Practice Address - Street 1:101 COLLEGE OF NURSING BLDG
Practice Address - Street 2:NEWTON ROAD
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1117
Practice Address - Country:US
Practice Address - Phone:319-248-1267
Practice Address - Fax:319-384-0080
Is Sole Proprietor?:No
Enumeration Date:2008-12-05
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAH080923363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1942445937Medicaid
IA1942445937Medicaid