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

Nicole Jennifer Gallimore

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1134876121

Nicole Jennifer Gallimore is a Nurse Practitioner in Kent, Ohio. Qualified in 2021, 5 years ago. Practices with Serenity Center of Youngstown LLC, a 13-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2022
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Practice location Address checks out

5982 Rhodes Rd
Kent, OH 44240-8100
Phone: (330) 673-1347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5982 Rhodes Rd, Kent, OH 44240-8100 — (330) 673-1347

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN.CNP.0030872 (OH)

Record details

NPI number1134876121
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 9, 2022
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023
Mailing address5982 Rhodes Rd, Kent, OH 44240-8100

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Serenity Center Of Youngstown Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Kent