Individual
CLARISSA NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W CHEROKEE AVE STE 102, ENID, OK 73701-5600
(580) 340-7235
Mailing address
300 W CHEROKEE AVE STE 102, ENID, OK 73701-5600
(580) 340-7235
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/27/2022
Last updated
02/09/2026
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