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

Kelly Ann Nickerson, RN, BSN

Individual provider Addiction (Substance Use Disorder) Registered Nurse · NPI 1235969742

Kelly Ann Nickerson, RN, BSN is an Addiction (Substance Use Disorder) Registered Nurse in Damascus, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024
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.

See every abbreviation used in this directory →

Practice location Address checks out

15758 SE Highway 224 Unit 96
Damascus, OR 97089-8410
Phone: (503) 421-8226
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Registered Nurse (primary) Taxonomy 163WA0400X · Licence 201142980RN (OR)

Record details

NPI number1235969742
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , BSN
Sole proprietorNo
NPI enumeratedAugust 7, 2024
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024