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

Lillie Mae Nicholson

Individual provider Licensed Practical Nurse · NPI 1992428908

Lillie Mae Nicholson is a Licensed Practical Nurse in Kingwood, West Virginia. Licensed in West Virginia. Registered with an NPI since 2022.

Licensed in
WV
In the registry since
2022

Practice location Address checks out

419 Morgantown St
Kingwood, WV 26537-1095
Phone: (304) 329-3565
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 19736 (WV)

Record details

NPI number1992428908
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 23, 2022
Last updated in NPPESSeptember 23, 2022
Certification dateSeptember 23, 2022
Mailing address419 Morgantown St, Kingwood, WV 26537-1095

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