Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carol Cristman Nickless, RN, PHN, BSN

Individual provider Community Health Registered Nurse · NPI 1427171008

Carol Cristman Nickless, RN, PHN, BSN is a Community Health Registered Nurse in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
BSN — Bachelor of Science in Nursing
A four-year nursing degree.

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Practice location Address checks out

12366 Grandee Ct
San Diego, CA 92128-2120
Phone: (858) 676-0096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Registered Nurse (primary) Taxonomy 163WC1500X · Licence 536023 (CA)

Record details

NPI number1427171008
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , PHN , BSN
Sole proprietorYes
NPI enumeratedApril 9, 2007
Last updated in NPPESJuly 8, 2007

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