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

Miracle Michelle Nickerson

Individual provider Registered Nurse · NPI 1619625092

Miracle Michelle Nickerson is a Registered Nurse in Stafford, Texas. Licensed in Texas. Registered with an NPI since 2022.

Licensed in
TX
In the registry since
2022
Specialties on file
2

Practice location Address checks out

10521 Corporate Dr
Stafford, TX 77477-4003
Phone: (832) 560-8907
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1065199 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 883244 (TX)

Record details

NPI number1619625092
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 14, 2022
Last updated in NPPESMarch 14, 2022
Certification dateDecember 20, 2021
Mailing address2401 McDaniel St, Houston, TX 77093-8030

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