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

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