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

Ieasha Nickelson, RN

Individual provider Clinical Medical Laboratory · NPI 1447901079

Ieasha Nickelson, RN is a Clinical Medical Laboratory in Bolingbrook, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1440 Clear Dr
Bolingbrook, IL 60490-5575
Phone: (708) 949-0969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Health Registered Nurse (primary) Taxonomy 163WX0106X · Licence 041393629 (IL)
Clinical Medical Laboratory Taxonomy 291U00000X

Record details

NPI number1447901079
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedJanuary 14, 2022
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 14, 2022

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