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

Mark Roland Nickle, FNP

Individual provider Nurse Practitioner · NPI 1134769342

Mark Roland Nickle, FNP is a Nurse Practitioner in Roy, Utah. Practices as a sole proprietor and works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

5305 S 1900 W
Roy, UT 84067-2906
Phone: (801) 825-5648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3702 S State St Ste 107, South Salt Lake, UT 84115-5096 — (801) 288-2634

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 6234684-4405 (UT)
Nurse Practitioner Taxonomy 363L00000X · Licence 6234684-4405 (UT)

Record details

NPI number1134769342
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorYes
NPI enumeratedJanuary 15, 2020
Last updated in NPPESMay 27, 2021
Certification dateMay 27, 2021
Mailing address249 S 1050 E, Layton, UT 84041-4499

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