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

Crystal Nicholson, LPN

Individual provider Licensed Practical Nurse · NPI 1114149309

Crystal Nicholson, LPN is a Licensed Practical Nurse in Clarksburg, West Virginia. Licensed in West Virginia. Registered with an NPI since 2007.

Licensed in
WV
In the registry since
2007
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

706 Oakmound Rd
Clarksburg, WV 26301-9398
Phone: (304) 622-7511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 23952 (WV)

Record details

NPI number1114149309
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESJuly 8, 2007
Mailing address130 W Woodland Ave, Clarksburg, WV 26301-4038

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