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Individual
MR. DANIEL JAMES NICHOLS
Active
Individual
MR. DANIEL JAMES NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, MSM, PA-C
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0000000865
TN
363A00000X
Physician Assistant
Primary
074769
IA
363A00000X
Physician Assistant
085005376
IL
363AM0700X
Medical Physician Assistant
2401
TN
Other
Enumeration date
11/19/2008
Last updated
04/30/2025
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