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Search › Illinois › Family Nurse Practitioner

Nicole Nissen

NPI 1629569843 · on the registry since 2018

Practice

Address
623 Hamacher St
Waterloo, IL 62298
Phone
(314) 925-0903
Organisation at this address
Monroe County
Monroe County
Monroe County
Gcp Aco 2 Llc
Waterloo Slp Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
Family Nurse Practitioner
363LF0000X
Also registered as
Nurse Practitioner
Licence states on file
IL, MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois