Indiana
State Board of Nursing
PHYLLIS ANN NICCUM
Registered Nurse
License number
28021568A
Date granted
11/03/1948
Date expires
10/31/1997
Class
Registered Nurse
Status
Expired
Address
MUNCIE IN 47304
nursingindiana.org
ID 8079073
LAST UPDATED 2026-04-05 22:46:18 UTC
LAST UPDATED 2026-04-05 22:46:18 UTC
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