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Contact Information

ROSS A NICKOLEY, CRNA
2201 WEST LAMPASASAS ST
ENNIS REGIONAL MEDICAL CENTER
ENNIS, TX75119
 Phone: 972-875-0900
 Fax: 469-256-2459
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for ROSS A NICKOLEY · (Male)

NPI Number 1992748263
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 06/14/2006
Last updated 02/10/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 209026286
  • TN License # 17715
  • TN Medicaid Q073460
Hospital affiliation(s)
  • PULASKI MEMORIAL HOSPITAL - (Critical Access)
    616 E 13TH ST
    WINAMAC, IN 46996
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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