Individual
RACHEL NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2111 EMMONS RD, JUSTIN WHITING HALL, RM 111, JACKSON, MI 49201-8395
(517) 990-1374
Mailing address
2111 EMMONS RD, JUSTIN WHITING HALL, RM 111, JACKSON, MI 49201-8395
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704250104
MI
363LF0000X
Family Nurse Practitioner
Primary
4704250104
MI
Other
Enumeration date
10/05/2011
Last updated
02/11/2020
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