JERRY RAY NICHOLS NPI 1669043386

NPI Information

Jerry Ray Nichols is a peer specialist in Claremore, OK. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Jerry Ray Nichols NPI is 1669043386. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1402 N FLORENCE AVE STE B
CLAREMORE, OK
ZIP 74017-159
Phone: (918) 608-0380

The enumeration date for this NPI number is 7/3/2021 and was last updated on 7/3/2021.

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:

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