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

Stacey Nickerson

Individual provider Peer Specialist · NPI 1679239974

Stacey Nickerson is a Peer Specialist in Greensboro, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021

Practice location Address checks out

2031 Martin Luther King Jr Dr Ste D
Greensboro, NC 27406-3300
Phone: (336) 588-8268
Show map & directions

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

Additional practice locations (1)

  • 301 S Elm St Ste 426, Greensboro, NC 27401-2675 — (336) 383-6498

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence HC6258 (NC)

Record details

NPI number1679239974
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 10, 2021
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

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