STACEY NICKERSON
NPI 1679239974
Peer Specialist in Greensboro, NC
About Stacey Nickerson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY NICKERSON (NPI 1679239974) is an individual peer specialist in Greensboro, North Carolina, licensed in North Carolina (HC6258) and active in the NPI registry since November 2021. She maintains a secondary practice location in Greensboro.
NPPES Registry Identity
Specialties & Licenses
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Secondary Practice Location 1
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREENSBORO, NC 27406
GREENSBORO, NC 27406
GREENSBORO, NC 27406
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 Stacey Nickerson's NPI number?
The NPI number for Stacey Nickerson is 1679239974. It was assigned to this individual provider in the NPPES registry on November 10, 2021.
Where is Stacey Nickerson located?
Stacey Nickerson practices at 2031 Martin Luther King Jr Dr Ste D, Greensboro, NC 27406. The listed phone number is (336) 588-8268.
What is Stacey Nickerson's specialty?
The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.
When was this NPI record last updated?
The NPPES record for Stacey Nickerson was last updated on October 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
