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MIRACLE MICHELLE NICKERSON
NPI 1619625092
Nurse Practitioner - Family in Stafford, TX

Active since March 14, 2022
10521 CORPORATE DR, STAFFORD, TX 77477(832) 560-8907 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miracle Michelle Nickerson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRACLE MICHELLE NICKERSON (NPI 1619625092) is an individual family provider in Stafford, Texas, licensed in Texas (1065199) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1619625092
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIRACLE MICHELLE NICKERSON
Location Address10521 CORPORATE DRStafford, TX 77477-4003
Mailing Address2401 Mcdaniel StHouston, TX 77093-8030 · (832) 560-8907
Phone(832) 560-8907
Sole ProprietorNo
Enumeration DateMarch 14, 2022
NPPES CertifiedDecember 20, 2021
✔ NPI 1619625092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1065199
Also ListedRegistered NurseTaxonomy 163W00000X · License 883244 (TX)
10521 CORPORATE DR, Stafford, TX 77477
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMERICAN CURRENT CARE P.A .
Clinic/Center (Urgent Care)
10521 CORPORATE DR
STAFFORD, TX 77477
Fort Bend County (281) 277-7997
U.S. HEALTHWORKS MEDICAL GROUP OF TEXAS, INC.
Clinic/Center (Urgent Care)
10521 CORPORATE DR
STAFFORD, TX 77477
Fort Bend County (281) 277-7997
SHIKHA MANISH SHAH PT, DPT
Physical Therapist
10521 CORPORATE DR
STAFFORD, TX 77477
Fort Bend County (281) 277-7997
OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST P.A.
Clinic/Center (Occupational Medicine)
10521 CORPORATE DR
STAFFORD, TX 77477
Fort Bend County (281) 277-7997
DR. SCOTT BARRY BISCHOFF M.D.
Internal Medicine (Sports Medicine)
10521 CORPORATE DR
STAFFORD, TX 77477
Fort Bend County (281) 277-7997
SUSANA GUZMAN RUBIANO P.T.
Physical Therapist
10521 CORPORATE DR
STAFFORD, TX 77477
Fort Bend County (281) 277-7997

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miracle Nickerson's NPI number?

The NPI number for Miracle Nickerson is 1619625092. It was assigned to this individual provider in the NPPES registry on March 14, 2022.

Where is Miracle Nickerson located?

Miracle Nickerson practices at 10521 Corporate Dr, Stafford, TX 77477. The listed phone number is (832) 560-8907.

What is Miracle Nickerson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Miracle Nickerson was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.