Individual
MISS MARANDA ELIZABETH NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPH
Contact information
Practice address
4334 E HIGHLAND DR, STE A, JONESBORO, AR 72401-6621
(870) 802-0012
(870) 972-5140
Mailing address
4334 E HIGHLAND DR, STE A, JONESBORO, AR 72401-6621
(870) 802-0012
(870) 972-5140
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
AR
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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