Individual
MR. EDWARD CLAY NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3326 FRONT ST, WINNSBORO, LA 71295-6487
(318) 435-7333
(318) 435-9061
Mailing address
2375 HIGHWAY 130, WINNSBORO, LA 71295-7704
(318) 435-4064
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APO5939
LA
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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