Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Leigh Niese, PA-C

Individual provider Physician Assistant · NPI 1023419504

Nicole Leigh Niese, PA-C is a Physician Assistant in Oregon, Ohio. Licensed in Ohio. Registered with an NPI since 2014.

Licensed in
OH
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3028 Navarre Ave
Oregon, OH 43616-3308
Phone: (419) 697-6850
Fax: (419) 697-6861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 004102 (OH)

Record details

NPI number1023419504
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 15, 2014
Last updated in NPPESFebruary 8, 2021
Certification dateFebruary 8, 2021

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