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

Nickole Dawn Corey, PMHNP-C

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1205480688

Nickole Dawn Corey, PMHNP-C is a Nurse Practitioner in Lewiston, Idaho. Qualified in 2025, 1 year ago. Licensed in Idaho.

Years since qualifying
1
Licensed in
ID
In the registry since
2019

Practice location Address checks out

1203 Idaho St
Lewiston, ID 83501-1940
Phone: (509) 444-8200
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5371398 (ID)

Record details

NPI number1205480688
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-C
Sole proprietorNo
NPI enumeratedJuly 24, 2019
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Lewiston