Nichols, Jerilynn

Nichols, Jerilynn is an individual health care provider with primary practice located at 4820 S Clark St , Mexico MO 65265-4111. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Genetic Counselor, MS, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Nichols, Jerilynn can be contacted via phone (573) 239-5715.

Contact Information

Primary practice address
4820 S Clark St Mexico MO 65265-4111
Phone: (573) 239-5715
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Genetic Counselor, MS 170300000X
Pharmacy Service Providers / Pharmacist 183500000X 2015023146 Missouri

Profile Details

NPI number 1740311786
LBN Legal business name Nichols, Jerilynn
Credentials MS, PHARMD, CGC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Jan 20th, 2022 - about 4 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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