Nichols, Inez H

Nichols, Inez H is an individual health care provider with primary practice located at 221 Sw Stonegate Ter Suite 101, Lake City FL 32024-3463. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nichols, Inez H can be contacted via phone (386) 719-7066.

Contact Information

Primary practice address
221 Sw Stonegate Ter Suite 101 Lake City FL 32024-3463
Phone: (386) 719-7066
Fax: (386) 719-7066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP1850432 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN096819 Georgia

Profile Details

NPI number 1336461912
LBN Legal business name Nichols, Inez H
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2010
Last updated Nov 14th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336461912 NPPES
Georgia Other 1336461912 NPI
Georgia Other 1336461912 NPI

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