Individual
MRS. AMY N NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN/BHT
Contact information
Practice address
1801 FULLER RD, MERIDIAN, MS 39309-5106
(601) 679-2240
(601) 679-3232
Mailing address
1801 FULLER RD, MERIDIAN, MS 39309-5106
(601) 679-2240
(601) 679-3232
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
164W00000X
Licensed Practical Nurse
P316082
MS
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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