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

Tara Nickum, CNP

Individual provider Nurse Practitioner · NPI 1659808558

Tara Nickum, CNP is a Nurse Practitioner in Batavia, Ohio. Licensed in Kentucky and Ohio. Registered with an NPI since 2017.

Licensed in
KY, OH
In the registry since
2017
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

2080 Erion Rd
Batavia, OH 45103-8928
Phone: (513) 403-4497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRNCNP020769 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence 3011176 (KY)

Record details

NPI number1659808558
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedMay 23, 2017
Last updated in NPPESMay 23, 2017
Mailing address2080 Erion Rd, Batavia, OH 45103-8928

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