Provider Demographics
NPI:1972494417
Name:SYMSICK, NICOLETTE SUE (FNP-C)
Entity type:Individual
Prefix:
First Name:NICOLETTE
Middle Name:SUE
Last Name:SYMSICK
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 BLOOMINGROVE RD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44903-9438
Mailing Address - Country:US
Mailing Address - Phone:419-545-3936
Mailing Address - Fax:
Practice Address - Street 1:2600 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-2872
Practice Address - Country:US
Practice Address - Phone:513-556-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-12
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHF06251847363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily