Individual
JUDITH LYNN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
105 MARINER WAY, STE 203, ST AUGUSTINE, FL 32086
(904) 342-2989
(904) 824-6243
Mailing address
PO BOX 3123, ST AUGUSTINE, FL 32085-3123
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN978502
FL
Other
Enumeration date
01/20/2006
Last updated
05/04/2021
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