Jennifer Nickerson is a Philadelphia, Pennsylvania based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Jennifer Nickerson is 272040 for Anesthesia Administration in Ohio. Her current practice location is 3401 N Broad St, Philadelphia. Patients can reach her at 215-707-3326 or can fax her at 215-707-8028. Jennifer Nickerson is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1891794772. Jennifer Nickerson is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Jennifer Nickerson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Gender:
Female
Practice Address:
3401 N Broad St, Philadelphia, Pennsylvania, 19140-5103
Phone:
215-707-3326
Fax:
215-707-8028
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1891794772
NPI Enumeration Date:
21 Jul, 2005
NPI Last Update On:
18 Feb, 2025
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer Nickerson are as mentioned below.
License Number
Specialization
State
Status
272040
Anesthesia Administration
Ohio
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jennifer Nickerson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200461980
Medicaid
Indiana
2340005
Medicaid
Ohio
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
11490 Springfield Pike, Cincinnati, Ohio
Zip:
45246-3524
Phone Number:
513-672-3309
Fax Number:
513-672-3323
Patients can reach Jennifer Nickerson at 3401 N Broad St, Philadelphia, Pennsylvania or can call to book an appointment on 215-707-3326.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.