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

Madison Dale Nickens

Individual provider Occupational Therapist · NPI 1912577552

Madison Dale Nickens is an Occupational Therapist in Pascagoula, Mississippi. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Partly verified

Some contact details are missing from the federal record.

U S S Wisconsin Loop
Pascagoula, MS 39595-0001
Phone: (601) 270-1430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1912577552
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 27, 2021
Last updated in NPPESJune 27, 2021
Certification dateJune 27, 2021

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