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

Juanita Nickelson

Individual provider Nursing Home Administrator · NPI 1659965606

Juanita Nickelson is a Nursing Home Administrator in Madison, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2501 McKenna Blvd
Madison, WI 53711-3917
Phone: (414) 704-4217
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Home Administrator (primary) Taxonomy 376G00000X

Record details

NPI number1659965606
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 21, 2021
Last updated in NPPESFebruary 21, 2021
Certification dateFebruary 10, 2021