MRS. INEZ H NICHOLS ARNP NPI 1336461912

NPI Information

NPI: 1336461912
Provider Name: MRS. INEZ H NICHOLS, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
221 SW STONEGATE TER
SUITE 101
LAKE CITY, FL
ZIP 32024
Phone: (386) 719-7066
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MRS. Inez H Nichols, ARNP is a family nurse practitioner in Lake City, FL with 7 years of experience. MRS. Inez H Nichols, ARNP NPI is 1336461912. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

221 SW STONEGATE TER
SUITE 101
LAKE CITY, FL
ZIP 32024-463
Phone: (386) 719-7066
Fax: (386) 719-7066

The NPI 1336461912 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/23/2010 and was last updated on 11/14/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN096819	GEORGIA	No
2	363LF0000X	Nurse Practitioner	Family	ARNP1850432	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1336461912	OTHER	FLORIDA	NPI
2	1336461912	OTHER	GEORGIA	NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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