Individual
MRS. CYNTHIA H. NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
124 W COMMERCE ST, HERNANDO, MS 38632-2240
(662) 429-5221
(662) 429-7917
Mailing address
124 W COMMERCE ST, HERNANDO, MS 38632-2240
(662) 429-5221
(662) 429-7917
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R707295
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09979281
—
MS
Enumeration date
05/13/2006
Last updated
07/08/2007
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