Individual
CATHERINE BUCKINGHAM NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4266 SUNBEAM RD, JACKSONVILLE, FL 32257-2425
(904) 407-6999
Mailing address
4266 SUNBEAM RD, JACKSONVILLE, FL 32257-2425
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
153673
LA
363LP0200X
Pediatric Nurse Practitioner
Primary
11014025
FL
363LP0200X
Pediatric Nurse Practitioner
207658
LA
Other
Enumeration date
07/08/2019
Last updated
05/31/2023
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